Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT00002482 | WA |
NPI | 1053399287 |
---|---|
Provider Name | Adam D Ostrowski |
First Address | Auburn, WA 98002-4013 |
Second Address | Auburn, WA 98002-4013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0718OS | REGENCE (01) | WA |
160802 | LABOR & INDUSTRIES (01) | WA |
P61525 | (02) | WA |