Organization
ATTENTION & SENSORY-MOTOR DEVELOPMENT, LLC
Active
Other names
Attention & Sensory-Motor Development
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE DIANE KENNEY OTR/L (OWNER/MANAGER)
(509) 845-3810
Entity
Organization
Contact information
Practice address
8514 W GAGE BLVD, KENNEWICK, WA 99336-8108
(509) 845-3810
(888) 881-3559
Mailing address
1336 W SUNSET DR, BURBANK, WA 99323-8601
(509) 845-3810
(888) 881-3559
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00001974
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558530949
OREGON DHS
OR
01
—
1987486
COVENTRY HEALTHCARE
WA
01
—
5114KE
ASURIS
WA
05
—
8519530
—
WA
01
—
876733SPE
UNITED HEALTHCARE
WA
01
—
9863141
AETNA
WA
Enumeration date
09/23/2010
Last updated
09/23/2010
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