Provider Demographics
NPI:1972247815
Name:ALL MINDS THERAPY PLLC
Entity Type:Organization
Organization Name:ALL MINDS THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPY, OTR/L
Authorized Official - Prefix:
Authorized Official - First Name:ARTI
Authorized Official - Middle Name:MANOHAR
Authorized Official - Last Name:SURVE
Authorized Official - Suffix:
Authorized Official - Credentials:OTD
Authorized Official - Phone:425-502-1915
Mailing Address - Street 1:19114 GRANNIS RD
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-6957
Mailing Address - Country:US
Mailing Address - Phone:425-502-1915
Mailing Address - Fax:
Practice Address - Street 1:19114 GRANNIS RD
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98012-6957
Practice Address - Country:US
Practice Address - Phone:425-502-1915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service