Organization
ADVANCED PEDIATRIC THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARRON DONNELLY (OCCUPATIONAL THERAPIST)
(971) 207-6550
Entity
Organization
Contact information
Practice address
11320 NE 49TH ST STE 208, VANCOUVER, WA 98682-6547
(360) 885-4684
Mailing address
11320 NE 49TH ST STE 208, VANCOUVER, WA 98682-6547
(360) 885-4684
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1021785
OR
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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