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Contact Information

MELINDA BORTOLAZZO, COTA/L
1010 SOUTH 336TH STREET
SUITE 210
FEDERAL WAY, WA98003
 Phone: 425-308-8119
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for MELINDA BORTOLAZZO · (Female)

NPI # 1356620306
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 08/09/2011
Last updated 08/09/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • WA License # OC60166229
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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