Pruner, Misty Leigh
Pruner, Misty Leigh is an individual health care provider with primary practice located at 710 Nw Juniper St Suite 106, Issaquah WA 98027-2717. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Pruner, Misty Leigh can be contacted via phone (425) 392-2346.Contact Information
Primary practice address
710 Nw Juniper St Suite 106
Issaquah WA 98027-2717
Phone: (425) 392-2346
Fax: (425) 392-0185
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT00003961 | Washington |
Profile Details
NPI number | 1356337299 |
---|---|
LBN Legal business name | Pruner, Misty Leigh |
Credentials | Registered Occupational Therapist (OTR) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2005 |
Last updated | Jul 8th, 2007 - about 17 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 | 1356337299 | NPPES |
Washington | MEDICAID | 8407959 |
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