Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT00003685 | WA |
NPI | 1255472429 |
---|---|
Provider Name | Mrs. Robynn L Oczkewicz |
First Address | Everett, WA 98208-4280 |
Second Address | Everett, WA 98201-3787 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2007 |
Last Update Date | 23/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0279548 | L & I (01) | WA |
1255472429 | (05) | WA |
G8900664 | MEDICARE NON-KING CO. (01) | WA |