Organization
CHILDREN'S THERAPY OF PUGET SOUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA JOHNSON MOT, OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(253) 202-4246
Entity
Organization
Contact information
Practice address
2607 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4700
(253) 202-4246
Mailing address
630 N ROCHESTER ST, TACOMA, WA 98406-1724
(253) 202-4246
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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