Patricia Bradley-Bunn, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Newcastle, WA

NPI 1962040493 · NPPES record last updated Dec 16, 2019

Key facts

NPI
1962040493
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
60989645 (WA)
Practice address
7311 Coal Creek Pkwy SE Apt K201
Newcastle, WA 98059-3068
Phone
(425) 215-5568
NPI assigned
Dec 16, 2019
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

State licenses

LicenseStateTypeSpecialty
60989645WAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
224Z00000X 60989645 WA Yes

Addresses

Primary practice location

7311 Coal Creek Pkwy SE Apt K201
Newcastle, WA 98059-3068

Mailing address

7311 Coal Creek Pkwy SE Apt K201
Newcastle, WA 98059-3068
Phone (425) 215-5568

Other providers in Newcastle, WA

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

Sources for this page

Verify at the official NPI Registry.