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Organization

A STEP AHEAD IN PIERCE COUNTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CANDACE N WATKINS (EXECUTIVE DIRECTOR)
(253) 471-2727
Entity
Organization

Contact information

Practice address
8717 S HOSMER ST, STE A, TACOMA, WA 98444-1819
(253) 471-2727
(253) 471-2730
Mailing address
8717 S HOSMER ST, STE A, TACOMA, WA 98444-1819
(253) 471-2727
(253) 471-2730

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00000523
WA
225XP0200X
Pediatric Occupational Therapist
OT00001455
WA
235Z00000X
Speech-Language Pathologist
Primary
LL60121171
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7125321
WA
05
7133432
WA
Enumeration date
03/16/2006
Last updated
03/06/2013
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