Individual
NICOLE MADISON PULSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17825 59TH AVE NE STE B, ARLINGTON, WA 98223-6453
(360) 363-4234
(360) 363-4235
Mailing address
17825 59TH AVE NE STE B, ARLINGTON, WA 98223-6453
(360) 363-4234
(360) 363-4235
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
OT61349310
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT61349310
—
WA
Enumeration date
08/17/2022
Last updated
10/07/2022
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