Fullenwider, Lynnlee

Fullenwider, Lynnlee is an individual health care provider with primary practice located at 12911-120Th Ave. Ne, Suite F-120, Kirkland WA 98034-3025. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Fullenwider, Lynnlee can be contacted via phone (425) 823-1389.

Contact Information

Primary practice address
12911-120Th Ave. Ne, Suite F-120 Kirkland WA 98034-3025
Phone: (425) 823-1389
Fax: (425) 820-3996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT00000365 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 9105000003 Washington

Profile Details

NPI number 1285764043
LBN Legal business name Fullenwider, Lynnlee
Credentials OTR L CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Feb 29th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285764043 NPPES
Washington Other 0282315 L & I
Washington Other 0282300 L & I
Washington Other 0282323 L & I
Washington Other 34464 L & I
Washington MEDICAID 7680697 L & I
Washington Other FU4123 L & I

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