Search › Washington › 224Z00000X
Kelley Hieronymus, COTA/L
NPI 1487998902 · on the registry since 2012 · sole proprietor
Practice
- Address
- 817 E Plum St
Moses Lake, WA 98837 - Phone
- (509) 765-7835
- Organisation at this address
- Sunbridge Healthcare Llc
817 East Plum Street Opco, Llc
817 East Plum Street Operations LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-11-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington