Basic Information
Provider Information
NPI: 1841622677
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORROW
FirstName: MARILYN
MiddleName: ELIZABETH
NamePrefix: MRS.
NameSuffix:  
Credential: M S OTR /L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5711 137TH PL SE
Address2:  
City: BELLEVUE
State: WA
PostalCode: 980064245
CountryCode: US
TelephoneNumber: 4256413581
FaxNumber: 4256413581
Practice Location
Address1: 1417 116TH AVE NE STE 110
Address2:  
City: BELLEVUE
State: WA
PostalCode: 980043821
CountryCode: US
TelephoneNumber: 4256885900
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/03/2013
LastUpdateDate: 08/03/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000XOT00000169WAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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