Individual
THERESA JEAN COLONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9050 384TH AVE SE, SNOQUALMIE, WA 98065-9637
(425) 888-3347
(425) 888-3348
Mailing address
9050 384TH AVE SE, SNOQUALMIE, WA 98065-9637
(425) 888-3347
(425) 888-3348
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.OC.70022404
WA
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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