Individual
MRS. KELLY NICOLE BUDNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
16703 SE MCGILLIVRAY BLVD STE 170, VANCOUVER, WA 98683-4301
(360) 989-7347
Mailing address
16703 SE MCGILLIVRAY BLVD STE 170, VANCOUVER, WA 98683-4301
(360) 989-7347
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60127249
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4112819
—
WA
Enumeration date
12/28/2013
Last updated
03/05/2025
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