Basic Information
| Provider Information | |||||||||
| NPI: | 1043312804 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | REED | ||||||||
| FirstName: | DEBORA | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | COTA L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 18505 227TH AVE E | ||||||||
| Address2: | |||||||||
| City: | ORTING | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983609111 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3608932251 | ||||||||
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| Practice Location | |||||||||
| Address1: | 13050 MILITARY RD S | ||||||||
| Address2: | |||||||||
| City: | TUKWILA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981683047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2062483080 | ||||||||
| FaxNumber: | 2062484242 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/02/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 224Z00000X | OC00000742 | WA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant |
No ID Information.