Individual
MRS. LAURA ANN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
214 W MAIN, PUYALLUP, WA 98371-5328
(253) 841-8700
Mailing address
7003 105TH ST E, PUYALLUP, WA 98373-4043
(253) 770-1138
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00000341
WA
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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