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NPI Code Detail

MEDICARE: DEBORAH JEAN READ MOTRL

MEDICARE: DEBORAH JEAN READ MOTRL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XE1200XErgonomics Occupational TherapistOT00003136WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10154162OTHERWADEPT OF LABOR & INDUSTRIE

General Provider Information

NPI Number : 1093881542
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH JEAN READ MOTRL
Provider Business Mailing Address
First Line : 5231 SW STEVENS ST
Second Line :
City : SEATTLE
State : WA
Zip : 98116-2946
Country : US
Telephone Number : 206-938-3294
Fax Number :
Provider Business Practice Location Address
First Line : 5231 SW STEVENS ST
Second Line : #B
City : SEATTLE
State : WA
Zip : 98116-2946
Country : US
Telephone Number : 206-938-3294
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2006
Last Update Date : 07/08/2007

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