Provider Demographics
NPI:1861876245
Name:REILLY, HELEN (OTR/L)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:REILLY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:GROFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:519 18TH AVE E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4617
Mailing Address - Country:US
Mailing Address - Phone:206-251-3473
Mailing Address - Fax:
Practice Address - Street 1:19221 36TH AVE W
Practice Address - Street 2:STE. 101
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-5796
Practice Address - Country:US
Practice Address - Phone:425-774-9563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-15
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60574148225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist