Individual
ALICE L COLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2929 MCDOUGALL AVE, ENUMCLAW, WA 98022-7410
(306) 802-7100
Mailing address
12617 215TH AVENUE CT E, BONNEY LAKE, WA 98391-7648
(253) 862-5378
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 00000559
WA
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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