Individual
JOHN OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 3RD AVE, LONGVIEW, WA 98632-3229
(360) 423-8800
Mailing address
1500 3RD AVE, LONGVIEW, WA 98632-3229
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60769259
WA
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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