Individual
SUSAN FAITH CAPOEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
242 ST HELENS AVE, TACOMA, WA 98402-2514
(423) 647-5226
Mailing address
25611 68TH AVE E, GRAHAM, WA 98338-8330
(423) 647-5226
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
225700000X
Massage Therapist
MA60258497
WA
Other
Enumeration date
01/12/2012
Last updated
08/22/2022
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