Individual
JOAQUIN RICHARD OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
6220 SOUTH ALASKA STREET, TACOMA, WA 98408
(253) 476-5300
Mailing address
817 E 35TH ST, TACOMA, WA 98404
(253) 267-4310
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60285465
WA
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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