Individual
MISSY O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4110 NASSAU AVE NE, TACOMA, WA 98422-2265
(253) 720-6891
Mailing address
2905 48TH ST NE, TACOMA, WA 98422-2086
(253) 720-6891
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003511
WA
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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