=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659429983
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STRAIT OCCUPATIONAL &HAND THERAPY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/05/2007
-----------------------------------------------------
Last Update Date | 10/12/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 708 S RACE ST SUITE C
-----------------------------------------------------
City | PORT ANGELES
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98362-6441
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-417-0703
-----------------------------------------------------
Fax | 360-417-2007
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 708 S RACE ST SUITE C
-----------------------------------------------------
City | PORT ANGELES
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98362-6441
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-417-0703
-----------------------------------------------------
Fax | 360-417-2007
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LYNDA WILLIAMSON
-----------------------------------------------------
Credential | OTRL, CHT
-----------------------------------------------------
Telephone | 360-417-0703
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225XH1200X
-----------------------------------------------------
Taxonomy Name | Hand Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------