Provider Demographics
NPI:1083242028
Name:CAPEN AND ASSOCIATES, P.S.
Entity Type:Organization
Organization Name:CAPEN AND ASSOCIATES, P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASADY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:253-565-0436
Mailing Address - Street 1:633 N MILDRED ST STE A
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-1725
Mailing Address - Country:US
Mailing Address - Phone:253-565-0438
Mailing Address - Fax:253-564-6012
Practice Address - Street 1:633 N MILDRED ST STE A
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-1725
Practice Address - Country:US
Practice Address - Phone:253-565-0438
Practice Address - Fax:253-564-6012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA120614OtherWASHINGTON STATE LABOR AND INDUSTRIES