Provider Demographics
NPI:1831324508
Name:REGONAS, ARNEL NOCION (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:ARNEL
Middle Name:NOCION
Last Name:REGONAS
Suffix:
Gender:M
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 1:4734 144TH PL NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98271-3409
Mailing Address - Country:US
Mailing Address - Phone:360-990-5538
Mailing Address - Fax:
Practice Address - Street 1:1609 SE 92ND CT
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664-2860
Practice Address - Country:US
Practice Address - Phone:360-737-7527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-22
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1077262225X00000X
WAOT00004499225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist