Individual
MATTHEW HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
2620 RW JOHNSON BOULEVARD SOUTHWEST SUITE 112, TUMWATER, WA 98512
(360) 350-2220
Mailing address
2620 RW JOHNSON BOULEVARD SOUTHWEST SUITE 112, TUMWATER, WA 98512
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60632887
WA
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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