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NPI Code Detail

MEDICARE: DEBORAH A ANDERSON OT

MEDICARE: DEBORAH A ANDERSON OT
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 TherapistOT00001367WA

General Provider Information

NPI Number : 1811299050
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH A ANDERSON OT
Provider Business Mailing Address
First Line : 12040 28TH AVE NE
Second Line : 102
City : SEATTLE
State : WA
Zip : 98125-5356
Country : US
Telephone Number : 206-364-4831
Fax Number :
Provider Business Practice Location Address
First Line : 2821 S WALDEN ST
Second Line :
City : SEATTLE
State : WA
Zip : 98144-6830
Country : US
Telephone Number : 206-725-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2010
Last Update Date : 11/19/2010

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Directions to “ DEBORAH A ANDERSON OT” Practice Location

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