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MRS. DENISE MICHELLE CLARK OTR CHT

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist

Provider NPI: 1528198389

Provider Information:
MRS. DENISE MICHELLE CLARK OTR CHT
Gender: F
Not Sole Proprietor

Practice Location:
12911 120TH AVE NE SUITE H 220 KIRKLAND, WA 98034-3027 US
Tel: 425-216-7075  Fax: 425-216-7094

Business Mailing Address:
805 MADISON ST SUITE 901 SEATTLE, WA 98104-1172 US
Tel: 206-264-8100  Fax: 206-264-8689

NPI Information:
NPI: 1528198389
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
WAOT00001716
Y225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
WA9711000164

Other Provider Identifiers:

IssuerNumberStateType
7680697WA05
L & I126095WA01
REGENCE7466CLWA01



American Medical Association 2012 taxonomy code information

Code: 225XH1200X

Type:

Classification:



Definition:



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