Individual
MR. THOMAS CHARLES HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
10903 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1341
(253) 583-5170
Mailing address
326 154TH ST E, TACOMA, WA 98445-1100
(253) 312-6478
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
61006958
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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