| Ms Julia Icenogle, MOT, OTR/L | |
|
18151 68th Ave Ne Ste 100, Kenmore, WA 98028-2835 | |
| (425) 686-6760 | |
| (425) 686-6763 |
| Full Name | Ms Julia Icenogle |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Hand |
| Location | 18151 68th Ave Ne Ste 100, Kenmore, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437571890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XH1200X | Occupational Therapist - Hand | 312111 (Oregon) | Primary |
| 225X00000X | Occupational Therapist | OT 60399402 (Washington) | Secondary |
| Provider Name | King County Public Hospital District No 2 |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801986070 PECOS PAC ID: 7618880097 Enrollment ID: O20031111000557 |
| Provider Name | Snohomish Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487692398 PECOS PAC ID: 3476547100 Enrollment ID: O20040414000418 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Julia Icenogle, MOT, OTR/L 18151 68th Ave Ne Ste 100, Kenmore, WA 98028-2835 Ph: (425) 686-6760 | Ms Julia Icenogle, MOT, OTR/L 18151 68th Ave Ne Ste 100, Kenmore, WA 98028-2835 Ph: (425) 686-6760 |
Duaa Al-jassim, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 18151 68th Ave Ne, Kenmore, WA 98028 Phone: 425-686-6760 | |
Sarah Kim, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 18151 68th Ave Ne Ste 100, Kenmore, WA 98028 Phone: 425-686-6760 Fax: 425-686-6763 | |
Mrs. Darcie Lynn Bulger, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6443 Ne 181st St, Kenmore, WA 98028 Phone: 425-419-6199 Fax: 425-407-5508 | |
Meghan Lassiter, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6443 Ne 181st St, Kenmore, WA 98028 Phone: 425-419-6199 | |
The Magical Ones, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18531 61st Pl Ne, Kenmore, WA 98028 Phone: 206-391-6721 | |
Yhali Sara Gat, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7231 Ne 147th Pl, Kenmore, WA 98028 Phone: 425-375-8391 |