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Individual

ALISON TOWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.O.T.A.

Contact information

Practice address
6021 N LIDGERWOOD ST, SPOKANE, WA 99208-1125
(509) 489-3324
Mailing address
PO BOX 1544, 816 E CAMPBELL ST, MEDICAL LAKE, WA 99022-1544

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC0000927
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OC0000927
WA
Enumeration date
08/20/2007
Last updated
08/20/2007
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