Individual
WADE PELLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 BIRCHWOOD AVE, BELLINGHAM, WA 98225-1302
(360) 734-9295
Mailing address
1200 BIRCHWOOD AVE, BELLINGHAM, WA 98225-1302
(360) 734-9295
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003040
WA
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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