Individual
CAROLYN LEIGH NEEDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3717 GRANDVIEW DR W, UNIVERSITY PLACE, WA 98466-2138
(253) 566-5600
Mailing address
3511 S 263RD ST, KENT, WA 98032-7041
(206) 384-2206
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61105992
WA
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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