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NPI Code Detail

MEDICARE: MARTHA TRAAS OTR/L

MEDICARE: MARTHA TRAAS OTR/L
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
1225X00000XOccupational TherapistWA

General Provider Information

NPI Number : 1366683526
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA TRAAS OTR/L
Provider Business Mailing Address
First Line : 1355 W MAIN ST
Second Line :
City : MONROE
State : WA
Zip : 98272-2022
Country : US
Telephone Number : 206-467-9030
Fax Number :
Provider Business Practice Location Address
First Line : 1355 W MAIN ST
Second Line :
City : MONROE
State : WA
Zip : 98272-2022
Country : US
Telephone Number : 206-467-9030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2009
Last Update Date : 10/13/2009

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Directions to “ MARTHA TRAAS OTR/L” Practice Location

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