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General NPI Number Information
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NPI Number | 1225927890
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Entity Type | Organization
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Legal Business Name | PEDIATRIC THERAPY COLLECTIVE PLLC
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 6721 51ST AVE S
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City | SEATTLE
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State | WA
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Zip | 98118-3617
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Country | US
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Telephone | 425-677-0276
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Fax |
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Provider Business Mailing Address
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Address Line | 6965 CALIFORNIA AVE SW
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City | SEATTLE
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State | WA
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Zip | 98136-1953
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Country | US
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Telephone | 425-677-0276
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE HUIZINGA
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Credential | OTR/L
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Telephone | 425-677-0276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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