Provider Demographics
NPI:1215181672
Name:BULGER, DARCIE LYNN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:DARCIE
Middle Name:LYNN
Last Name:BULGER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6443 NE 181ST ST STE 101-261
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-4831
Mailing Address - Country:US
Mailing Address - Phone:425-419-6199
Mailing Address - Fax:425-407-5508
Practice Address - Street 1:6443 NE 181ST ST
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-4831
Practice Address - Country:US
Practice Address - Phone:425-419-6199
Practice Address - Fax:425-407-5508
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2774225XP0200X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty