Miss Julie Ann Ellenberger, OTR/L | |
510 8th Ave Ne Ste 340, Issaquah, WA 98029-5449 | |
(425) 313-3055 | |
(425) 313-3051 |
Full Name | Miss Julie Ann Ellenberger |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Hand |
Location | 510 8th Ave Ne Ste 340, Issaquah, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215283502 | NPI | - | NPPES |
2105652 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT60302480 (Washington) | Secondary |
225XH1200X | Occupational Therapist - Hand | OT60302480 (Washington) | Primary |
Provider Name | Proliance Surgeons Inc Ps |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128 |
Mailing Address | Practice Location Address |
---|---|
Miss Julie Ann Ellenberger, OTR/L 510 8th Ave Ne Ste 320, Issaquah, WA 98029-5436 Ph: (425) 313-3055 | Miss Julie Ann Ellenberger, OTR/L 510 8th Ave Ne Ste 340, Issaquah, WA 98029-5449 Ph: (425) 313-3055 |
Deanna Christine Pierce, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 22500 Se 56th St Apt 39-300, Issaquah, WA 98029 Phone: 682-564-8737 | |
Lisa Gail Richards, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Nw Juniper St, Suite 106, Issaquah, WA 98027 Phone: 425-392-2346 Fax: 425-392-0185 | |
Stephanie Lee, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1871 Nw Gilman Blvd Ste 2, Issaquah, WA 98027 Phone: 425-657-6027 | |
Donna Lee Burns, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Nw Juniper St, Suite 106, Issaquah, WA 98027 Phone: 425-392-2346 Fax: 425-392-0185 | |
Tiffany Dawn Cloud, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Nw Juniper St, Suite 106, Issaquah, WA 98027 Phone: 425-392-2346 Fax: 425-392-0185 | |
Erica Bigler, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1871 Nw Gilman Blvd, Suite 2, Issaquah, WA 98027 Phone: 425-657-0620 Fax: 425-677-7415 | |
Irg Pacific Handworks Issaquah Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5825 221st Pl Se, Suite 208, Issaquah, WA 98027 Phone: 425-392-4206 Fax: 425-392-4209 |