Basic Information
| Provider Information | |||||||||
| NPI: | 1508296336 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | TREHAN | ||||||||
| FirstName: | VRINDA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19401 40TH AVE W STE 330 | ||||||||
| Address2: | |||||||||
| City: | LYNNWOOD | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980365600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4256709987 | ||||||||
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| Practice Location | |||||||||
| Address1: | 19401 40TH AVE W STE 330 | ||||||||
| Address2: | |||||||||
| City: | LYNNWOOD | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980365600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4256709987 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/14/2013 | ||||||||
| LastUpdateDate: | 11/14/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OT00004531 | WA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.