Provider Demographics
NPI:1740661065
Name:TREIBER, ERIN ANNE TULLY (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:ANNE TULLY
Last Name:TREIBER
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 1:43201 SE 176TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:WA
Mailing Address - Zip Code:98045-9003
Mailing Address - Country:US
Mailing Address - Phone:206-707-2444
Mailing Address - Fax:
Practice Address - Street 1:3913 324TH AVE SE
Practice Address - Street 2:
Practice Address - City:FALL CITY
Practice Address - State:WA
Practice Address - Zip Code:98024-7700
Practice Address - Country:US
Practice Address - Phone:425-830-8768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-11
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WATL60548371225X00000X
WAOT60548369225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist