| Mrs Denise Michelle Clark, OTR CHT | |
|
12911 120th Ave Ne, Suite H 220, Kirkland, WA 98034-3027 | |
| (425) 216-7075 | |
| (425) 216-7094 |
| Full Name | Mrs Denise Michelle Clark |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Hand |
| Location | 12911 120th Ave Ne, Kirkland, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528198389 | NPI | - | NPPES |
| 7466CL | Other | WA | REGENCE |
| 126095 | Other | WA | L & I |
| 7680697 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT00001716 (Washington) | Secondary |
| 225XH1200X | Occupational Therapist - Hand | 9711000164 (Washington) | Primary |
| Provider Name | Virginia Mason Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801851258 PECOS PAC ID: 9830002617 Enrollment ID: O20031107000383 |
| Provider Name | Proliance Surgeons Inc P S |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128 |
| Provider Name | Seattle Hand Surgery Group Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033190889 PECOS PAC ID: 2365339637 Enrollment ID: O20040302000248 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Denise Michelle Clark, OTR CHT 805 Madison St, Suite 901, Seattle, WA 98104-1172 Ph: (206) 264-8100 | Mrs Denise Michelle Clark, OTR CHT 12911 120th Ave Ne, Suite H 220, Kirkland, WA 98034-3027 Ph: (425) 216-7075 |
Mrs. Deborah Ann Mazza, OTR/L, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 12911 120th Ave Ne Ste H220, Kirkland, WA 98034 Phone: 425-823-4224 Fax: 425-820-8975 | |
Cynthia K Choi, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12629 116th Ave Ne, Kirkland, WA 98034 Phone: 425-947-0105 | |
Mr. Corbett Dean Mercer, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11800 Ne 128th St Ste 200, Kirkland, WA 98034 Phone: 425-899-3300 | |
Jodi Duquette, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12040 Ne 128th St # Ms 103, Kirkland, WA 98034 Phone: 206-498-0368 | |
Wee Occupational Therapy Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10415 Ne 37th Cir Ste 3, Kirkland, WA 98033 Phone: 425-736-0980 | |
Proliance Surgeons, Inc., P.s. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12911 120th Ave Ne, Suite H-220, Kirkland, WA 98034 Phone: 425-216-7075 Fax: 425-216-7094 | |
Vicky Tovar, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 515 Kirkland Way, Kirkland, WA 98033 Phone: 425-827-7031 Fax: 425-827-0102 |