Caitlin Elise Boulware, MSOT | |
201 16th Ave E, Seattle, WA 98112-5226 | |
(206) 326-3000 | |
Not Available |
Full Name | Caitlin Elise Boulware |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 201 16th Ave E, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750822300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 0119007198 (Virginia) | Secondary |
225X00000X | Occupational Therapist | OT60731216 (Washington) | Primary |
Provider Name | Kaiser Foundation Health Plan Of Washington |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Provider Name | Seattle Hand Surgery Group Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033190889 PECOS PAC ID: 2365339637 Enrollment ID: O20040302000248 |
Mailing Address | Practice Location Address |
---|---|
Caitlin Elise Boulware, MSOT 201 16th Ave E, Seattle, WA 98112-5226 Ph: (206) 326-3000 | Caitlin Elise Boulware, MSOT 201 16th Ave E, Seattle, WA 98112-5226 Ph: (206) 326-3000 |
Jaclyn Ann Subkoviak, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-341-0461 Fax: 206-515-5886 | |
Tamira Bass, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Seneca St, Seattle, WA 98104 Phone: 206-540-3705 | |
Ms. Mary Patricia Dodge, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1959 Ne Pacific St, Mailbox 356490, Seattle, WA 98195 Phone: 206-598-4830 | |
Demetrios Terezakis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-744-6112 | |
Lisbeth Brucknr Lord, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3010 Ne 113th St, Seattle, WA 98125 Phone: 206-498-2532 | |
Elizabeth A. Reite, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4010 Stone Way N, 300, Seattle, WA 98103 Phone: 206-949-9692 | |
Mr. David Emery Hall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1660 S Columbian Way, Seattle, WA 98108 Phone: 206-277-1593 Fax: 206-768-5271 |