Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | ||
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | ||
Y | 225XP0200X | Occupational Therapist - Pediatrics |
NPI | 1720277833 |
---|---|
Provider Name | Dr. Tanya L O'callaghan |
First Address | Sumner, WA 98390-0130 |
Second Address | Puyallup, WA 98372-6782 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2007 |
Last Update Date | 09/05/2015 |