| Fidalgo Island Pediatric Occupational Therapy Services PLLC | |
|
2116 Meadows Ln Anacortes WA 98221-1170 | |
| (206) 819-3905 | |
| Not Available |
| Full Name | Fidalgo Island Pediatric Occupational Therapy Services PLLC |
|---|---|
| Speciality | Clinic/center |
| Location | 2116 Meadows Ln, Anacortes, Washington |
| Authorized Official Name and Position | Carlene Nichols (OWNER) |
| Authorized Official Contact | 2068193905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fidalgo Island Pediatric Occupational Therapy Services PLLC 2116 Meadows Ln Anacortes WA 98221-1170 Ph: (206) 819-3905 | Fidalgo Island Pediatric Occupational Therapy Services PLLC 2116 Meadows Ln Anacortes WA 98221-1170 Ph: (206) 819-3905 |
| NPI Number | 1003576257 |
|---|---|
| Provider Enumeration Date | 12/28/2021 |
| Last Update Date | 01/01/2022 |
| Certification Date | 01/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003576257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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