Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT00003034 | WA |
NPI | 1235297607 |
---|---|
Provider Name | Karan A Dennis |
First Address | Bellevue, WA 98006-1657 |
Second Address | Bellevue, WA 98006-1657 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 08/07/2007 |