Individual
DAWN MICHELE LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
920 12TH AVE SE, PUYALLUP, WA 98372-4920
(253) 841-3422
Mailing address
920 12TH AVE SE, PUYALLUP, WA 98372-4920
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00001209
WA
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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