Provider Demographics
NPI:1861756157
Name:ORR, ALICIA J
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:J
Last Name:ORR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2031 FRANKLIN AVE E
Mailing Address - Street 2:403
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3547
Mailing Address - Country:US
Mailing Address - Phone:206-708-3656
Mailing Address - Fax:
Practice Address - Street 1:2031 FRANKLIN AVE E
Practice Address - Street 2:403
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3547
Practice Address - Country:US
Practice Address - Phone:206-708-3656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT 60269185225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist