Individual
MS. KRISTI JOY BUSHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2320 BORST AVE, CENTRALIA, WA 98531-1410
(360) 330-7600
(360) 330-7604
Mailing address
1407 S TYLER ST, TACOMA, WA 98405-1139
(360) 701-5698
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60598251
WA
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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