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Individual

MR. DENNIS B MOSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
1811 22ND AVE SE, OLYMPIA, WA 98501-3023
(360) 292-9312
Mailing address
3421 LONG LAKE DR SE, LACEY, WA 98503-4049
(360) 292-9312

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60646296
WA

Other

Enumeration date
05/23/2019
Last updated
05/23/2019
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