Provider Demographics
NPI:1912190448
Name:PRATTE, NOELLE PRATTE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:NOELLE
Middle Name:PRATTE
Last Name:PRATTE
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 1:22909 ARLINGTON HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-9509
Mailing Address - Country:US
Mailing Address - Phone:253-732-6225
Mailing Address - Fax:
Practice Address - Street 1:9802 48TH DR NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-8100
Practice Address - Country:US
Practice Address - Phone:360-572-5801
Practice Address - Fax:509-665-5876
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00003156225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist