Provider Demographics
NPI:1033345434
Name:SCHLEG, PAMELA M (COTA)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:M
Last Name:SCHLEG
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12424 S 71ST CT
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1570
Mailing Address - Country:US
Mailing Address - Phone:425-501-8956
Mailing Address - Fax:
Practice Address - Street 1:EVERETT TRANSITIONAL CARE SERVICES
Practice Address - Street 2:916 PACIFIC AVENUE
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201
Practice Address - Country:US
Practice Address - Phone:425-258-7518
Practice Address - Fax:425-258-7553
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOC 60055766224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant