Individual
KERWIN JOHN DOUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
9601 STEILACOOM BLVD SW, LAKEWOOD, WA 98498-7212
(253) 756-2800
Mailing address
4701 73RD AVENUE CT W, UNIVERSITY PLACE, WA 98466-4244
(253) 565-7222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 00003047
WA
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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