Individual
SHARON LYNN KUZNETSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
563 MADISON AVE N, BAINBRIDGE ISLAND, WA 98110-1768
(206) 855-8455
(206) 855-8465
Mailing address
563 MADISON AVE N, BAINBRIDGE ISLAND, WA 98110-1768
(206) 855-8455
(206) 855-8465
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003756
WA
225XH1200X
Hand Occupational Therapist
OT00003759
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8379364
—
WA
01
—
G8948780
MEDICARE
WA
01
—
P00264836
RAILROAD MEDICARE
—
Enumeration date
05/20/2006
Last updated
01/08/2020
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