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Contact Information

CONNIE C WYATT, OTR/L
4815 SHARPE RD
ANACORTES, WA98221-8403
 Phone: 360-770-1752
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

225XE0001X 67 Occupational Therapist in Private Practice
 

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
 

Physical Rehabilitation

225XP0019X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CONNIE C WYATT · (Female)

NPI Number 1992345011
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 01/07/2020
Last updated 01/07/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 60850227
  • WA Other 60850227 OCCUPATIONAL THERAPIST LICENSE
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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