Individual
TERESA FAIR-FIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
16150 NE 85TH ST, STE. #220, REDMOND, WA 98052-3539
(425) 558-0558
(425) 526-5535
Mailing address
16150 NE 85TH ST, STE. #220, REDMOND, WA 98052-3539
(425) 558-0558
(425) 526-5535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002166
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039584
LABOR AND INDUSTRIES #
WA
05
—
8394595
—
WA
01
—
FA2971
BLUE SHIELD #
WA
01
—
US2308961
AETNA SPECIALIST PIN
WA
Enumeration date
02/18/2007
Last updated
06/03/2016
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