Individual
VERONICA BULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4632 143RD ST E, TACOMA, WA 98446-4134
(253) 301-7612
Mailing address
4632 143RD ST E, TACOMA, WA 98446-4134
(253) 301-7612
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 60506030
WA
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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