Heather Nicole Cornell, MS, OTR/L, CLT
Occupational Therapist in Seattle, WA. Individual provider (NPI-1).
NPI number1851521280
StatusActive
Last updated in NPPESApr 30, 2024
Details
- NPI
- 1851521280
- Entity type
- Individual (NPI-1)
- Name
- Heather Nicole Cornell
- Credential
- MS, OTR/L, CLT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2009
- Certification date
- Apr 30, 2024
- Last updated
- Apr 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | MA | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
216 James StSeattle, WA 98104-5102
Phone 206-753-8282
Mailing address
390 Commonwealth AveApt 604
Boston, MA 02215-2804
Other practice locations
802 Ne 66th St Apt 323
Seattle, WA 98115-5592
Seattle, WA 98115-5592
Phone 716-380-5628
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