Individual
TAMARA B WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001445
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114035789
—
WA
01
—
139336
L&I
WA
01
—
P01257585
RR MEDICARE
—
Enumeration date
08/25/2006
Last updated
03/21/2014
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