Provider Demographics
NPI:1760589238
Name:ANDERSEN, ALLEGRA P (OT)
Entity Type:Individual
Prefix:MS
First Name:ALLEGRA
Middle Name:P
Last Name:ANDERSEN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:720 OLIVE WAY
Mailing Address - Street 2:SUITE 1505
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101
Mailing Address - Country:US
Mailing Address - Phone:206-838-2590
Mailing Address - Fax:206-264-8689
Practice Address - Street 1:7320 216TH STREET SW
Practice Address - Street 2:SUITE 320
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026
Practice Address - Country:US
Practice Address - Phone:425-673-3916
Practice Address - Fax:425-673-3910
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAOT00000340225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand