Individual
MR. KALLE STANLY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
4610 6TH STREET PL SE, PUYALLUP, WA 98374-5791
(253) 841-9722
Mailing address
6270 TERRACE VIEW LN SE APT F305, AUBURN, WA 98092-5507
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61167137
WA
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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