Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT 00003844 | WA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation |
NPI | 1033581954 |
---|---|
Provider Name | Amelia Price |
First Address | Poulsbo, WA 98370-8091 |
Second Address | Poulsbo, WA 98370-7776 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2015 |
Last Update Date | 13/01/2021 |