Freeborn Wellness, Pllc
LBN: Freeborn Wellness, Pllc
Freeborn Wellness, Pllc is an health care organization with primary practice located at 6920 43Rd Loop Se , Lacey WA 98503-7114. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is the primary health care specialty.
Freeborn Wellness, Pllc can be contacted via phone (360) 584-3803, or through Freeborn, Andrea via phone (360) 584-3803.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT60068984 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health | 225XM0800X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X |
Profile Details
| NPI number | 1518324649 |
|---|---|
| LBN Legal business name | Freeborn Wellness, Pllc |
| DBA Doing business as | |
| Authorized official | Freeborn, Andrea MSOT, OTR/L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 20th, 2016 |
| Last updated | Jun 3rd, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518324649 | NPPES |
| Washington | MEDICAID | 2042848 |
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