Petrie, Trevor W.
Petrie, Trevor W. is an individual health care provider with primary practice located at 12911 120Th Ave Ne Ste H220 , Kirkland WA 98034. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Petrie, Trevor W. can be contacted via phone (425) 823-4224.Contact Information
Primary practice address
12911 120Th Ave Ne Ste H220
Kirkland WA 98034
Phone: (425) 823-4224
Fax: (425) 820-8975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | OT60281894 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT60281894 | Washington |
Profile Details
| NPI number | 1568718310 |
|---|---|
| LBN Legal business name | Petrie, Trevor W. |
| Credentials | OTR/L, CHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2012 |
| Last updated | Jan 3rd, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568718310 | NPPES |
| Washington | MEDICAID | 2022316 |
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