Doctor Name: | MRS. BRENDA HELEN SAMPLES |
NPI Number: | 1679861504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | OT 00000193 |
Business Practice Address: | 1355 W Main St Monroe, WA - 982722022 |
Business Phone Number: | 3607944011 |
Business Fax Number: | |
Mailing Address: | 970 5th Ave Nw, Suite 7 ISSAQUAH |
State: | WA |
Postal Code: | 980272469 |
Phone Number: | 2532305641 |
Fax Number: | 2539124774 |
NPI Enumeration Date: | 07/12/2011 |
NPI Last Update Date: | 07/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OT 00000193 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |