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NPI Code Detail

MEDICARE: TABITHA MARIE BROWN O.T.

MEDICARE: TABITHA MARIE BROWN O.T.
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 Therapist60174885WA

General Provider Information

NPI Number : 1609287978
Entity Type Code : Individual
Provider Name (Legal Business Name) : TABITHA MARIE BROWN O.T.
Provider Business Mailing Address
First Line : 3648 13TH AVE W
Second Line :
City : SEATTLE
State : WA
Zip : 98119-1310
Country : US
Telephone Number : 213-479-5062
Fax Number :
Provider Business Practice Location Address
First Line : 4700 PHINNEY AVE N
Second Line :
City : SEATTLE
State : WA
Zip : 98103-6374
Country : US
Telephone Number : 206-632-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2014
Last Update Date : 05/08/2014

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