Organization
BOTHELL PEDIATRIC & HAND THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANN ALQUIST OTRL / CHT (OWNER)
(425) 481-1933
Entity
Organization
Contact information
Practice address
18504 - BOTHELL WAY NE, BOTHELL, WA 98011
(425) 481-1933
(425) 481-9371
Mailing address
18504 BOTHELL WAY NE, BOTHELL, WA 98011
(425) 481-1933
(425) 481-9371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00007305
WA
2251P0200X
Pediatric Physical Therapist
PT00008794
WA
225X00000X
Occupational Therapist
OT00001174
WA
225XH1200X
Hand Occupational Therapist
OT00001174
WA
225XP0200X
Pediatric Occupational Therapist
Primary
OT00002828
WA
235Z00000X
Speech-Language Pathologist
LL00004467
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7124241
—
WA
05
—
7128762
—
WA
05
—
7682149
—
WA
05
—
8399347
—
WA
05
—
8399354
—
WA
05
—
8430985
—
WA
05
—
8432916
—
WA
Enumeration date
01/25/2007
Last updated
09/21/2012
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