Provider Demographics
NPI:1104218692
Name:HELLING, LAURA
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:HELLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10505 19TH AVE SE
Mailing Address - Street 2:SUITE B
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-4280
Mailing Address - Country:US
Mailing Address - Phone:408-570-0510
Mailing Address - Fax:408-945-4018
Practice Address - Street 1:3710 168TH ST NE
Practice Address - Street 2:#A102
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-8461
Practice Address - Country:US
Practice Address - Phone:360-658-8100
Practice Address - Fax:360-658-0508
Is Sole Proprietor?:No
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOC00000247224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant