Individual
TAMMI HASELTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
19401 40TH AVE W, 303, LYNNWOOD, WA 98036-4612
(425) 670-9987
Mailing address
19401 40TH AVE W, 303, LYNNWOOD, WA 98036-4612
(425) 670-9987
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60612353
WA
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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