Individual
HEIDI JO HYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2005 N.E. NORTHGATE WAY, SEATTLE, WA 98125-6646
(206) 362-9169
Mailing address
2005 NE NORTHGATE WAY, SEATTLE, WA 98125-6646
(206) 362-1969
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00001045
WA
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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