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NPI Code Detail

MEDICARE: JOANNA HALEY GURMAN OTR/L

MEDICARE: JOANNA HALEY GURMAN 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 Therapist024096NY
2225X00000XOccupational Therapist61261527WA

General Provider Information

NPI Number : 1871136630
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA HALEY GURMAN OTR/L
Provider Business Mailing Address
First Line : 3620 DAYTON AVE N APT 1
Second Line :
City : SEATTLE
State : WA
Zip : 98103-8547
Country : US
Telephone Number : 203-803-7781
Fax Number :
Provider Business Practice Location Address
First Line : 6720 E GREEN LAKE WAY N
Second Line :
City : SEATTLE
State : WA
Zip : 98103-5439
Country : US
Telephone Number : 206-525-9666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2019
Last Update Date : 07/12/2023

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