Provider Demographics
NPI:1447550751
Name:DALAL, MANSI (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:MANSI
Middle Name:
Last Name:DALAL
Suffix:
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 1:12835 NE BEL RED RD STE 303
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2625
Mailing Address - Country:US
Mailing Address - Phone:323-336-1991
Mailing Address - Fax:
Practice Address - Street 1:12835 NE BEL RED RD STE 303
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2625
Practice Address - Country:US
Practice Address - Phone:323-336-1991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-02
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT60186466225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist