Kimberly Joy McCollom, COTA
Individual provider Active NPI Occupational Therapy Assistant · Fall City, WA
NPI 1912344490 · NPPES record last updated May 24, 2013
Key facts
- NPI
- 1912344490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 5404 Preston Fall City Rd SE
Fall City, WA 98024-9628 - Phone
- (425) 435-9292
- NPI assigned
- May 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | WA | Yes |
Addresses
Primary practice location
5404 Preston Fall City Rd SE
Fall City, WA 98024-9628
Mailing address
5404 Preston Fall City Rd SE
Fall City, WA 98024-9628
Phone (425) 435-9292
Other names
- Kimberly Joy Doane
Other providers in Fall City, WA
- Kathryn Larsson
- Genesis Latham
- Tory Lincoln
- Luna Healthcare, LLC
- Paul J Lund
- Laura Metzer
- Eleanore A Olson
- Cosette Dawna Rae
- Jennifer Ann Richter
- Sean Thomas Robinson
All providers in Fall City, WA · Occupational Therapy Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.