Mary Douglas, OTRL, CHT | |
1112 Caroline St, Port Angeles, WA 98362-4204 | |
(360) 417-8630 | |
(360) 417-8635 |
Full Name | Mary Douglas |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 47 Years |
Location | 1112 Caroline St, Port Angeles, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891842274 | NPI | - | NPPES |
0304760 | Other | WA | L&I |
8399149 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT00003831 (Washington) | Primary |
225XH1200X | Occupational Therapist - Hand | OT00003831 (Washington) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Idaho Hand And Upper Extremity Therapy | 4183816655 | 2 |
Provider Name | Idaho Hand & Upper Extremity Therapy |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1699087346 PECOS PAC ID: 4183816655 Enrollment ID: O20101209000208 |
Mailing Address | Practice Location Address |
---|---|
Mary Douglas, OTRL, CHT 1112 Caroline St, Port Angeles, WA 98362-4204 Ph: (360) 417-8630 | Mary Douglas, OTRL, CHT 1112 Caroline St, Port Angeles, WA 98362-4204 Ph: (360) 417-8630 |
Alexandra Reichelt, OT61225174 Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 905 W 9th St, Port Angeles, WA 98363 Phone: 360-457-8575 | |
Ms. Amber Han Men, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1116 E Lauridsen Blvd, Port Angeles, WA 98362 Phone: 360-417-0557 | |
Katie Irvin, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1116 E Lauridsen Blvd, Port Angeles, WA 98362 Phone: 360-452-9206 Fax: 360-452-5117 | |
Pamela Hastings, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1112 Caroline St, Port Angeles, WA 98362 Phone: 360-417-8630 Fax: 360-417-8635 | |
Julie Vanantwerp, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 216 E 4th St, Port Angeles, WA 98362 Phone: 360-357-8575 | |
Strait Occupational &hand Therapy Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 708 S Race St, Suite C, Port Angeles, WA 98362 Phone: 360-417-0703 Fax: 360-417-2007 | |
Miss Rebecca Burcham, MSOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1116 E Lauridsen Blvd, Port Angeles, WA 98362 Phone: 360-452-9206 Fax: 360-452-5117 |