Individual
TAMARA PAYNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
15 NORTH E STREET, APARTMENT 38, TACOMA, WA 98403
(360) 561-0200
Mailing address
15 NORTH E STREET, APARTMENT 38, TACOMA, WA 98403
(360) 561-0200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 60608607
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352201
CERTIFIED OCCUPATIONAL THERAPY ASSISTANT COTA
WA
01
—
OC 60608607
COTA LICENSE
WA
Enumeration date
07/25/2016
Last updated
07/25/2016
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