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NPI Code Detail

MEDICARE: NICOLE RENEE PUTZEL

MEDICARE: NICOLE RENEE PUTZEL
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
1224Z00000XOccupational Therapy AssistantOC60072935WA

General Provider Information

NPI Number : 1356686422
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE RENEE PUTZEL
Provider Business Mailing Address
First Line : 820 NW 95TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98117-2207
Country : US
Telephone Number : 206-781-0100
Fax Number :
Provider Business Practice Location Address
First Line : 820 NW 95TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98117-2207
Country : US
Telephone Number : 206-781-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2012
Last Update Date : 11/30/2012

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Directions to “ NICOLE RENEE PUTZEL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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