Provider Demographics
NPI:1366631491
Name:SAVAGE, ALICIA M (OTR/L)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:M
Last Name:SAVAGE
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 1:4806 N 29TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-3922
Mailing Address - Country:US
Mailing Address - Phone:253-820-5791
Mailing Address - Fax:
Practice Address - Street 1:2310 A ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-2912
Practice Address - Country:US
Practice Address - Phone:253-820-5791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist