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Organization
PACIFIC HANDWORKS INC., P.S.
Active
Organization
PACIFIC HANDWORKS INC., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KALAIVANI MOODALY OTR/L (OCCUPATIONAL HAND THERAPIST)
(425) 827-5877
Entity
Organization
Contact information
Practice address
2800 NORTHUP WAY, 200, BELLEVUE, WA 98004-1440
(425) 827-5877
(425) 827-5843
Mailing address
2800 NORTHUP WAY, 200, BELLEVUE, WA 98004-1440
(425) 827-5877
(425) 827-5843
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
OT00002234
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133894
LABOR AND INDUSTRIES
WA
01
—
2082989
FIRST HEALTH
WA
01
—
7253070
AETNA
WA
05
—
8384760
—
WA
01
—
8943431
L&I CRIME VICTIMS
WA
01
—
9260MO
REGENCE
WA
Enumeration date
12/28/2007
Last updated
12/28/2007
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