| Preeti Suryakumar, OTR/L | |
|
13056 Se 76th St, Newcastle, WA 98056-4159 | |
| (425) 386-3833 | |
| Not Available |
| Full Name | Preeti Suryakumar |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 13056 Se 76th St, Newcastle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205285004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 60611785 (Washington) | Primary |
| Provider Name | Enjati Johnson Occupational And Physical Therapy Ps |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689274797 PECOS PAC ID: 4284047002 Enrollment ID: O20210114003003 |
| Mailing Address | Practice Location Address |
|---|---|
| Preeti Suryakumar, OTR/L 4714 153rd Ave Se, Bellevue, WA 98006-3246 Ph: (858) 603-1674 | Preeti Suryakumar, OTR/L 13056 Se 76th St, Newcastle, WA 98056-4159 Ph: (425) 386-3833 |
Ms. Shuk-fun Connie Mar, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12877 Se 75th Rd, Newcastle, WA 98056 Phone: 206-822-0158 | |
Krista Kowalchik, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7454 Newcastle Golf Club Rd, Newcastle, WA 98059 Phone: 425-453-1508 | |
Mrs. Melanie Elizabeth Adams I, O.T.R./L. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7454 Newcastle Golf Club Rd, Newcastle, WA 98059 Phone: 425-453-1508 |