Individual
MS. BROOKE EYTCHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2800 NORTHUP WAY # 260, BELLEVUE, WA 98004-1440
(425) 827-5877
Mailing address
1519 132ND ST SE, SUITE A, EVERETT, WA 98208-7203
(425) 827-5877
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003909
WA
225XP0019X
Physical Rehabilitation Occupational Therapist
OT 00003909
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005EY
REGENCE
WA
01
—
0015EY
REGENCE
WA
01
—
0016EY
REGENCE
WA
01
—
0017EY
REGENCE
WA
01
—
0034EY
REGENCE
WA
01
—
0040EY
REGENCE
WA
01
—
0257814
L&I
WA
01
—
0268149
DEPT OF L&I
WA
01
—
0273694
L&I
WA
01
—
0297470
L & I
WA
01
—
1073530770
DSHS
WA
01
—
6393EY
REGENCE
WA
Enumeration date
07/17/2006
Last updated
09/17/2012
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