Provider Demographics
NPI:1356117485
Name:SENNETT, REBECCA ANN I (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:SENNETT
Suffix:I
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 S STAR LAKE RD APT 72-302
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-2824
Mailing Address - Country:US
Mailing Address - Phone:608-289-7626
Mailing Address - Fax:
Practice Address - Street 1:2405 S 300TH ST
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-4225
Practice Address - Country:US
Practice Address - Phone:253-945-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist