Individual
MRS. REBECCA ELIZABETH MARY RACINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1010 SOUTH 336TH STREET, SUITE 210, FEDERAL WAY, WA 98003-7354
(866) 835-8091
Mailing address
1010 SOUTH 336TH STREET, SUITE 210, FEDERAL WAY, WA 98003-7354
(253) 835-8091
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00000978
WA
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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