Provider Demographics
NPI:1043465685
Name:DONOSO, ELENA VERDINE (MS, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ELENA
Middle Name:VERDINE
Last Name:DONOSO
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:ELENA
Other - Middle Name:VERDINE
Other - Last Name:DONOSO BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:703 30TH AVE
Mailing Address - Street 2:APT A
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-3061
Mailing Address - Country:US
Mailing Address - Phone:518-859-1375
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-598-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT60039477225X00000X
NY63 013730225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist