Provider Demographics
NPI:1790999381
Name:WODRICH, HELENA S (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:HELENA
Middle Name:S
Last Name:WODRICH
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 1:2737 50TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-2915
Mailing Address - Country:US
Mailing Address - Phone:206-390-8518
Mailing Address - Fax:
Practice Address - Street 1:2737 50TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-2915
Practice Address - Country:US
Practice Address - Phone:206-390-8518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000508702OtherANTHEM BLUE CROSS & BLUE
IN000000508702OtherANTHEM BLUE CROSS & BLUE