Individual
JESSICA HOI TUNG LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2430 N 13TH ST, SHELTON, WA 98584-1213
(360) 426-1651
Mailing address
2430 N 13TH ST, SHELTON, WA 98584-1213
(360) 426-1651
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 60325887
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DO NOT HAVE ONE
—
WA
Enumeration date
10/30/2013
Last updated
10/30/2013
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