Elicia Maureen Cartmell Demerritt, MOTR/L

Individual provider Active NPI Occupational Therapist · Snohomish, WA

NPI 1285970566 · NPPES record last updated Dec 14, 2012

Key facts

NPI
1285970566
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT 00004518 (WA)
Practice address
1601 Avenue D
Snohomish School District
Snohomish, WA 98290-1799
Phone
(360) 563-7308
NPI assigned
Dec 14, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT 00004518WAMDOccupational Therapist
45528OHWAMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 00004518 WA Yes
Pediatric Occupational Therapist 225XP0200X OT 00004518 WA
Pediatric Occupational Therapist 225XP0200X 45528OH WA

Addresses

Primary practice location

1601 Avenue D
Snohomish School District
Snohomish, WA 98290-1799

Mailing address

20922 64TH St SE
Snohomish, WA 98290-6043
Phone (509) 430-5772

Other providers in Snohomish, WA

All providers in Snohomish, WA · Occupational Therapist in Washington

Sources for this page

Verify at the official NPI Registry.