Basic Information
Provider Information
NPI: 1073887634
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BIGLER
FirstName: ERICA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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Mailing Information
Address1: 1871 NW GILMAN BLVD
Address2: SUITE 2
City: ISSAQUAH
State: WA
PostalCode: 980278116
CountryCode: US
TelephoneNumber: 4256570620
FaxNumber: 4256777415
Practice Location
Address1: 1871 NW GILMAN BLVD
Address2: SUITE 2
City: ISSAQUAH
State: WA
PostalCode: 980278116
CountryCode: US
TelephoneNumber: 4256570620
FaxNumber: 4256777415
Other Information
ProviderEnumerationDate: 02/29/2012
LastUpdateDate: 02/29/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225XP0200XOT60252392WAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics

No ID Information.


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