Basic Information
| Provider Information | |||||||||
| NPI: | 1447659313 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | ZWELLING | ||||||||
| FirstName: | DIANA | ||||||||
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| Credential: | MSOT R/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6208 51ST AVE S | ||||||||
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| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981182832 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2069192738 | ||||||||
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| Practice Location | |||||||||
| Address1: | 13010 NE 20TH ST | ||||||||
| Address2: | STE 300 | ||||||||
| City: | BELLEVUE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980052034 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4256446328 | ||||||||
| FaxNumber: | 4256446295 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2014 | ||||||||
| LastUpdateDate: | 08/17/2014 | ||||||||
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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 | 225XP0200X | OT60471327 | WA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics |
No ID Information.