Individual
MS. BEVERLY ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL,CHT
Contact information
Practice address
275 SW 160TH ST, STE. 201, BURIEN, WA 98166-3003
(206) 244-4263
(206) 244-8703
Mailing address
275 SW 160TH ST, STE. 201, BURIEN, WA 98166-3003
(206) 244-4263
(206) 244-8703
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00001672
WA
225XH1200X
Hand Occupational Therapist
Primary
OT00001672
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046225
DEPT. OF LABOR&INDUSTRIES
WA
05
—
8339822
—
WA
01
—
8920943
CRIME VICTUMS
WA
01
—
A005
TRICARE
WA
01
—
AN4985
REGENCE
WA
Enumeration date
04/14/2006
Last updated
12/03/2007
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