Individual
DONIELLE COSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 GOLDEN POND ST, PORT ORCHARD, WA 98366-3300
(360) 649-0938
Mailing address
340 GOLDEN POND ST, PORT ORCHARD, WA 98366-3300
(360) 649-0938
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60304403
WA
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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