Individual
JAMIE MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3837 S 12TH ST, TACOMA, WA 98405-2138
(833) 971-1230
Mailing address
601 S WRIGHT AVE, TACOMA, WA 98418-6935
(360) 908-0321
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61088523
WA
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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