Provider Demographics
NPI:1336487024
Name:VANPUTTEN, NANCY ELAINE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ELAINE
Last Name:VANPUTTEN
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 1:9309 SW CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070-6105
Mailing Address - Country:US
Mailing Address - Phone:206-463-2882
Mailing Address - Fax:206-463-0937
Practice Address - Street 1:9309 SW CEMETERY RD
Practice Address - Street 2:
Practice Address - City:VASHON
Practice Address - State:WA
Practice Address - Zip Code:98070-6105
Practice Address - Country:US
Practice Address - Phone:206-463-2882
Practice Address - Fax:206-463-0937
Is Sole Proprietor?:No
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00001486225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist