Organization
FIDALGO ISLAND PEDIATRIC OCCUPATIONAL THERAPY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLENE NICHOLS OTR/L (OWNER)
(206) 819-3905
Entity
Organization
Contact information
Practice address
2116 MEADOWS LN, ANACORTES, WA 98221-1170
(206) 819-3905
Mailing address
2116 MEADOWS LN, ANACORTES, WA 98221-1170
(206) 819-3905
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
01/01/2022
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