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Organization

DANDELION PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISA NELSON COTA/L (OWNER)
(425) 367-1387
Entity
Organization

Contact information

Practice address
303 BRADLEY BLVD STE 212, RICHLAND, WA 99352-4497
(509) 593-8292
(509) 385-0033
Mailing address
303 BRADLEY BLVD STE 212, RICHLAND, WA 99352-4497
(509) 593-8292
(509) 385-0033

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Enumeration date
01/22/2024
Last updated
07/12/2025
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