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Individual

MELISSA ANNE COGBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
121 WHITESELL ST NE, ORTING, WA 98360-8410
(360) 893-6500
Mailing address
11622 208TH AVENUE CT E, SUMNER, WA 98391-7765

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61193885
WA

Other

Enumeration date
10/20/2021
Last updated
10/20/2021
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