Provider Demographics
NPI:1447099080
Name:COMMENCEMENT CHILDREN'S THERAPY, LLC
Entity type:Organization
Organization Name:COMMENCEMENT CHILDREN'S THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST/ OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADDLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:253-284-0386
Mailing Address - Street 1:2915 MCCARVER ST STE 100
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98403-3392
Mailing Address - Country:US
Mailing Address - Phone:253-284-0386
Mailing Address - Fax:253-284-0384
Practice Address - Street 1:2915 MCCARVER ST STE 100
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-3392
Practice Address - Country:US
Practice Address - Phone:253-284-0386
Practice Address - Fax:253-284-0384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty