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A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
2251P0200X | 65 | Physical Therapist in Private Practice | |
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical | |
Clinical Nurse Specialist |
364S00000X | 89 | Certified Clinical Nurse Specialist | |
Developmental - Behavioral Pediatrics |
2080P0006X | 37 | Physician/Pediatric Medicine | |
Pediatrics |
225XP0200X | 67 | Occupational Therapist in Private Practice | |
Social Worker |
104100000X | |||
Speech-Language Pathologist |
235Z00000X | 15 | Speech Language Pathologist |
| NPI Number | 1861549206 |
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| LBN Legal business name | HOLLY RIDGE CENTER | ||||||||||||
| Authorized official | ROXANNE BRYSON - (EXECUTIVE DIRECTOR) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 01/05/2007 | ||||||||||||
| Last updated | 09/11/2025 - About 9 months ago | ||||||||||||
| Identifiers |
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HOLLY RIDGE CENTER
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| TERESA D COLLETT DR, PSY.D. 9951 MICKELBERRY RD NW SILVERDALE, WA |
| TERESA M DEROUIN, MS HARBOR SPEECH PATHOLOGY PORT ORCHARD, WA |
| DAN E DUNLAP SR, EDD 9201 SILVERDALE WAY NW SILVERDALE, WA |
| ELIZABETH T WHITE, LICSW 19001 VASHON HIGHWAY SW VASHON, WA |
| KAREN C SNOWDEN, MSW, LICSW 2600 SW HOLDEN ST SEATTLE, WA |
| SYLVIE AUBIN AMBULATORY CLINIC SEATTLE, WA |
| CRISTINA A PACHECO, DPT 1100 9TH AVENUE SEATTLE, WA |
| TAMIRA BASS, MOTR/L 1100 SENECA ST SEATTLE, WA |
| GABRIELA R HERAS, MSW 325 NINTH AVENUE, BOX 359797 SEATTLE, WA |
| SHEELA SATHYANARAYANA, MD 325 9TH AVE SEATTLE, WA |
HOLLY RIDGE CENTER