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NPI Code Detail

MEDICARE: MS. ELIZABETH DURKIN OT, EAMP

MEDICARE: MS. ELIZABETH DURKIN OT, EAMP
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
1171100000XAcupuncturistAC00002083WA
2225X00000XOccupational TherapistOT60645141WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120-1631890OTHERWATAX ID #

General Provider Information

NPI Number : 1932322997
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH DURKIN OT, EAMP
Provider Business Mailing Address
First Line : 2821 NW MARKET ST STE E
Second Line :
City : SEATTLE
State : WA
Zip : 98107-5815
Country : US
Telephone Number : 206-706-0063
Fax Number : 206-508-1265
Provider Business Practice Location Address
First Line : 2821 NW MARKET ST STE E
Second Line :
City : SEATTLE
State : WA
Zip : 98107-5815
Country : US
Telephone Number : 206-706-0063
Fax Number : 206-508-1265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 04/19/2018

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