Provider Demographics
NPI:1689963621
Name:HARPER-PHILLIPS, AMANDA JILL (OTR/L)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:JILL
Last Name:HARPER-PHILLIPS
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 1:2919 1ST AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-2329
Mailing Address - Country:US
Mailing Address - Phone:206-286-2322
Mailing Address - Fax:206-286-2301
Practice Address - Street 1:2919 1ST AVE W
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-2329
Practice Address - Country:US
Practice Address - Phone:206-286-2322
Practice Address - Fax:206-286-2301
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT 60202250225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics