Renah Thompson

Individual provider Active NPI Occupational Therapy Assistant · Sequim, WA

NPI 1700217072 · NPPES record last updated Dec 11, 2013

Key facts

NPI
1700217072
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OC60415194 (WA)
Practice address
650 W Hemlock St
Sequim, WA 98382-3718
Phone
(360) 582-2400
NPI assigned
Dec 11, 2013
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
OC60415194WAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OC60415194 WA Yes

Addresses

Primary practice location

650 W Hemlock St
Sequim, WA 98382-3718

Mailing address

203 Some Day Way
Sequim, WA 98382-7298
Phone (763) 486-5795

Other providers in Sequim, WA

All providers in Sequim, WA · Occupational Therapy Assistant in Washington

Sources for this page

Verify at the official NPI Registry.