National Provider Identifier
Pamela Jo Anderson, OTR/L
Pamela Jo Anderson, OTR/L is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Bonney Lake, WA and a listed phone number of (425) 264-8401.
Source: public NPPES record, last updated July 08, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1326771064
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- July 08, 2022
- Last Updated
- July 08, 2022
Practice Location
- 21106 SR 410 E
- Bonney Lake, WA 98391-8788
Phone: (425) 264-8401
Mailing Address
- 560 N McNeely St
- Buckley, WA 98321-9279
Specialties
- Pediatric Occupational Therapist (225XP0200X)
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Biography
Pamela Anderson, OTR/L, is an occupational therapist based in Bonney Lake, Washington.
Full Record
- NPI
- 1326771064
- Entity Type
- Individual
- Last Name
- Anderson
- First Name
- Pamela
- Middle Name
- Jo
- Credential
- OTR/L
- Mailing Street Address
- 560 N McNeely St
- Mailing City
- Buckley
- Mailing State
- WA
- Mailing ZIP Code
- 98321-9279
- Mailing Country
- US
- Mailing Phone
- (701) 429-8044
- Practice Street Address
- 21106 SR 410 E
- Practice City
- Bonney Lake
- Practice State
- WA
- Practice ZIP Code
- 98391-8788
- Practice Country
- US
- Practice Phone
- (425) 264-8401
- Enumeration Date
- July 08, 2022
- Last Updated
- July 08, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- July 08, 2022
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)
- Other Identifiers
- OT60437067 (WA, Washington State Department Of Health)