Individual
COURTNEY JEANETTE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L, RBT/CBT
Contact information
Practice address
10140 US-12, ROCHESTER, WA 98579
(360) 273-5536
Mailing address
10206 LAKE STEILACOOM DR SW, LAKEWOOD, WA 98498-5720
(136) 035-9011
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
NA
WA
224Z00000X
Occupational Therapy Assistant
Primary
OC60811004
WA
Other
Enumeration date
12/23/2018
Last updated
10/10/2019
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