Individual
HEATHER NICOLE CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L, CLT
Contact information
Practice address
216 JAMES ST, SEATTLE, WA 98104-5102
(206) 753-8282
Mailing address
390 COMMONWEALTH AVE, APT 604, BOSTON, MA 02215-2804
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225X00000X
Occupational Therapist
Primary
—
MA
Other
Enumeration date
07/20/2009
Last updated
04/30/2024
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