IndividualActive
Andrea Stathoulis, OTR
NPI 1639204993 · Pediatric Occupational Therapist · Shoreline, WA
Provider details
- NPI number
- 1639204993
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- No
- License
- OT00003886 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
20310 19th Ave Ne
Shoreline, WA 98155-1261
Phone: (206) 367-5853
Approximate (ZIP-level) locationGet directions
Mailing address
22814 75th Ave W
Edmonds, WA 98026-8514
Registry dates
- Enumerated
- 2007-02-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.