IndividualActive
Elijah Occenola
NPI 1942011861 · Physical Therapy Assistant · Fircrest, WA
Provider details
- NPI number
- 1942011861
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4040 Orchard St W Ste 100
Fircrest, WA 98466-6610
Phone: (253) 270-0527
Approximate (ZIP-level) locationGet directions
Mailing address
7806 Onyx Ct Sw
Lakewood, WA 98498-3946
Registry dates
- Enumerated
- 2025-01-20
- Last updated
- 2025-01-20
- Certified
- 2025-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.