Wyatt, Connie Colleen
Wyatt, Connie Colleen is an individual health care provider with primary practice located at 4815 Sharpe Rd , Anacortes WA 98221-8403. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification is her primary health care specialty. Wyatt, Connie Colleen can be contacted via phone (360) 770-1752.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology | 225XG0600X | 60850227 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation | 225XP0019X | 60850227 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification | 225XE0001X | 60850227 | Washington |
Profile Details
| NPI number | 1992345011 |
|---|---|
| LBN Legal business name | Wyatt, Connie Colleen |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 7th, 2020 |
| Last updated | Jan 7th, 2020 - about 4 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 | 1992345011 | NPPES |
| Washington | Other | 60850227 | OCCUPATIONAL THERAPIST LICENSE |
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