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Individual

BRITTANY JO MARILYN ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
305 COLLEGE ST NE, LACEY, WA 98516-5390
(360) 412-4400
Mailing address
305 COLLEGE ST NE, LACEY, WA 98516-5390
(360) 412-4400

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60493034
WA

Other

Enumeration date
09/30/2014
Last updated
09/30/2014
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