Individual
BROOKE BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1310 S UNION AVE STE A100, TACOMA, WA 98405-1907
(253) 383-2423
Mailing address
3652 67TH AVE W, UNIVERSITY PLACE, WA 98466-5111
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00003873
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8410680
—
WA
Enumeration date
11/21/2006
Last updated
07/08/2007
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