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Contact Information

YOUR FOREVER HOME, PLLC
1581 NE OHARA HILLS DR
POULSBO, WA98370-6952
 Phone: 360-621-3341
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

225XE0001X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for YOUR FOREVER HOME PLLC · (Female)

NPI Number 1033655816
Status Active
Credentials
Entity Individual
Enumeration date 01/17/2017
Last updated 01/17/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # OT 60066956
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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