Individual
KALAIVANI MOODALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2800 NORTHUP WAY, #200, BELLEVUE, WA 98004-1440
(425) 827-5877
(425) 827-5843
Mailing address
1519 132ND ST SE, SUITE A, EVERETT, WA 98208-7203
(425) 357-9380
(425) 357-9382
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002234
WA
225XH1200X
Hand Occupational Therapist
OT00002234
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0122MO
REGENCE
WA
01
—
0257871
L&I
WA
01
—
0268161
DEPT OF L&I
WA
01
—
0277MO
REGENCE
WA
01
—
0278MO
REGENCE
WA
01
—
0279MO
REGENCE
WA
01
—
0444MO
REGENCE
WA
01
—
9260MO
REGENCE
WA
Enumeration date
02/21/2008
Last updated
01/24/2011
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