Individual provider · Type 1 NPI

Mark Mydan, OTR/L

Specialist · Bellingham, WA

NPI number 1104292499 Active

Practice location

544 Midwood Ct
Bellingham, WA 98229-7102

Call (360) 595-8427 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XOT 60084951 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104292499

Mark Mydan, OTR/L's National Provider Identifier is 1104292499, issued on Aug 20, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bellingham, WA. The record was last updated on Aug 20, 2015.