Provider Demographics
NPI:1972530079
Name:PALMER, BARBARA E (OT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:E
Last Name:PALMER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:E
Other - Last Name:GISH
Other - Suffix:
Other - Last Name Type:Former Name
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:98101-1878
Mailing Address - Country:US
Mailing Address - Phone:206-838-2590
Mailing Address - Fax:206-264-8689
Practice Address - Street 1:12911 120TH AVE NE
Practice Address - Street 2:SUITE H-220
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3027
Practice Address - Country:US
Practice Address - Phone:425-216-7075
Practice Address - Fax:425-216-7094
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00003081225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB37669Medicare PIN
WAP79470Medicare UPIN