Individual
REBECCA L NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3400 CALIFORNIA AVE SW, STE 100, SEATTLE, WA 98116
(206) 320-5510
(206) 320-5522
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
(206) 320-4476
(206) 320-4747
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00000929
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195942
L&I
WA
05
—
8422818
—
WA
Enumeration date
12/22/2006
Last updated
07/08/2007
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