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NPI Code Detail

MEDICARE: MS. MECHTHILD MARTHA RAST PH.D

MEDICARE:  MS. MECHTHILD MARTHA RAST  PH.D
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 TherapistOT00000804WA

General Provider Information

NPI Number : 1619044187
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MECHTHILD MARTHA RAST PH.D
Provider Business Mailing Address
First Line : 5731 NE 57TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98105-2005
Country : US
Telephone Number : 206-525-2272
Fax Number : 206-525-2272
Provider Business Practice Location Address
First Line : 5731 NE 57TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98105-2005
Country : US
Telephone Number : 206-525-2272
Fax Number : 206-525-2272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 07/08/2007

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Directions to “ MS. MECHTHILD MARTHA RAST PH.D” Practice Location

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