Provider Demographics
NPI:1831433440
Name:BEATTIE, BARBARA W (COTA/L)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:W
Last Name:BEATTIE
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 SILVA AVE. SE
Mailing Address - Street 2:BOX 400
Mailing Address - City:SNOQUALMIE
Mailing Address - State:WA
Mailing Address - Zip Code:98065-0400
Mailing Address - Country:US
Mailing Address - Phone:425-831-8015
Mailing Address - Fax:
Practice Address - Street 1:8001 SILVA AVE
Practice Address - Street 2:
Practice Address - City:SNOQUALMIE
Practice Address - State:WA
Practice Address - Zip Code:98065-0400
Practice Address - Country:US
Practice Address - Phone:425-831-8015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00000920224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant