| Pnw Home For Life Pllc | |
|
4815 Sharpe Rd, Anacortes, WA 98221-8403 | |
| (360) 770-1752 | |
| Not Available |
| Full Name | Pnw Home For Life Pllc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Environmental Modification |
| Location | 4815 Sharpe Rd, Anacortes, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649800608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XE0001X | Occupational Therapist - Environmental Modification | (* (Not Available)) | Primary |
| Provider Name | Connie Colleen Wyatt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992345011 PECOS PAC ID: 9830527639 Enrollment ID: I20200310001650 |
| Mailing Address | Practice Location Address |
|---|---|
| Pnw Home For Life Pllc 4815 Sharpe Rd, Anacortes, WA 98221-8403 Ph: (360) 770-1752 | Pnw Home For Life Pllc 4815 Sharpe Rd, Anacortes, WA 98221-8403 Ph: (360) 770-1752 |
James M Roberts, OTR/L, OTD Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1017 20th St, Anacortes, WA 98221 Phone: 360-424-7041 Fax: 360-424-2456 | |
Lynette Susanne Gray, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3715 W 7th St, Anacortes, WA 98221 Phone: 360-488-3947 | |
Connie Colleen Wyatt, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4815 Sharpe Rd, Anacortes, WA 98221 Phone: 360-770-1752 |