D'Eagle, Dana Sophia

D'Eagle, Dana Sophia is an individual health care provider with primary practice located at 32030 23Rd Ave S , Federal Way WA 98003-6031. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. D'Eagle, Dana Sophia can be contacted via phone (253) 946-4852.

Contact Information

Primary practice address
32030 23Rd Ave S Federal Way WA 98003-6031
Phone: (253) 946-4852
Fax: (253) 946-4862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT00002169 Washington

Profile Details

NPI number 1881687838
LBN Legal business name D'Eagle, Dana Sophia
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 3rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881687838 NPPES
Washington Other 112691 DEPT OF L&I
Washington Other AC7585 DEPT OF L&I

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