Mo Thi Pham, OTR/L
Occupational Therapist, Gerontology in Everett, WA. Individual provider (NPI-1).
NPI number1982258380
StatusActive
Last updated in NPPESJul 25, 2019
Details
- NPI
- 1982258380
- Entity type
- Individual (NPI-1)
- Name
- Mo Thi Pham
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2019
- Last updated
- Jul 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XG0600X | Occupational Therapist, Gerontology | OT00001599 | WA | Yes |
Practice location
916 Pacific Ave Fl 36Everett, WA 98201-4147
Phone 425-551-6308
Mailing address
6019 Bayview DrMukilteo, WA 98275-5573
Phone 425-367-2112
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Gerontology Occupational Therapist providers in Everett, WA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.