Individual
TANIS RUSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12026 17TH AVE NE, SEATTLE, WA 98125-5116
(425) 686-9438
Mailing address
4730 UNIVERSITY WAY NE STE 104, SEATTLE, WA 98105-4424
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
104928
MN
225X00000X
Occupational Therapist
Primary
OT60560743
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104928
MINNESOTA DEPARTMENT OF HEALTH
MN
01
—
340146
NBCOT
—
01
—
OT60560743
WASHINGTON DEPARTMENT OF HEALTH
WA
Enumeration date
12/14/2017
Last updated
05/31/2022
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