Individual
DIANE M NEWMAN-BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2200 NW MYHRE RD, SILVERDALE, WA 98383-7681
(360) 830-1100
Mailing address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00001152
WA
225XH1200X
Hand Occupational Therapist
Primary
OT00001152
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198209
LABOR & INDUSTRIES
WA
05
—
8351520
—
WA
01
—
8906174
CRIME VICTIMS COMP
WA
01
—
8918NE
REGENCE BLUESHIELD
—
01
—
P00391583
RAILROAD MEDICARE
—
Enumeration date
06/12/2006
Last updated
03/08/2018
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