Individual
MS. CHERYL T CODDINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
7704 BRIDGEPORT WAY W, LAKEWOOD, WA 98499-8380
(253) 458-1941
(253) 581-9207
Mailing address
7704 BRIDGEPORT WAY W, LAKEWOOD, WA 98499-8380
(253) 581-9410
(253) 581-9207
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003356
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153902
LABOR & INDUSTRIES
WA
01
—
5743CO
REGENCE BLUESHIELD
WA
05
—
8346793
—
WA
Enumeration date
05/26/2006
Last updated
10/13/2008
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