Individual
MR. ANDRE LORENZO SINGLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
105 BIRCH ST, FIRCREST, WA 98466-6648
(253) 363-1985
Mailing address
105 BIRCH ST, FIRCREST, WA 98466-6648
(253) 363-1985
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 60488135
WA
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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