Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT00003824 | WA |
NPI | 1003827734 |
---|---|
Provider Name | Elizabeth A. Reite |
First Address | Seattle, WA 98103-8099 |
Second Address | Seattle, WA 98103-8099 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 05/09/2014 |