Individual
CHAD HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS/R
Contact information
Practice address
815 S PEARL ST, TACOMA, WA 98465-2117
(253) 396-5936
Mailing address
815 S PEARL ST, TACOMA, WA 98465-2117
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
60290676
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60290676
—
WA
Enumeration date
10/22/2018
Last updated
10/22/2018
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