Individual
MS. CAROL JEAN DUFFY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, MA ABS
Contact information
Practice address
1823 HOLCOMB ST, TEMPORARY, PORT TOWNSEND, WA 98368-6034
(360) 379-0705
(360) 343-0540
Mailing address
1823 HOLCOMB ST, PORT TOWNSEND, WA 98368-6034
(360) 379-0705
(360) 343-0540
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014389
NY
225XH1200X
Hand Occupational Therapist
OT00002944
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014389-1 6766087
UNIVERSITY OF THE STATE OF NEW YORK OFFICE OF THE PROFESSIONS
NY
01
—
0163787
DEPT OF LABOR AND INDUSTR
WA
01
—
39-1543338
PREMERA BLUE CROSS
WA
01
—
391543338-01
KPS HEALTH PLAN
WA
01
—
3915DU
REGENCE BLUE SHIELD
WA
Enumeration date
09/12/2007
Last updated
09/15/2009
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