Individual
TENNILLE ROSE GAMMELGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
915 4TH ST NE, AUBURN, WA 98002-4452
(253) 931-4900
Mailing address
31811 PACIFIC HWY S, STE B #349, FEDERAL WAY, WA 98003
(206) 371-4871
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60435474
WA
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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