Individual
TEZETA H WORKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 224-2809
Mailing address
748 N 101ST ST, N/A, SEATTLE, WA 98133-9312
(206) 353-6490
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60526311
WA
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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