Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT00004058 | WA |
NPI | 1174602122 |
---|---|
Provider Name | Sharon Y. Assink |
First Address | Bellingham, WA 98226-4038 |
Second Address | Lynden, WA 98264-1539 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 08/07/2007 |