Individual
LEANN KAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1265 SW PACIFIC AVE, CHEHALIS, WA 98532-3624
(360) 807-7245
Mailing address
1265 SW PACIFIC AVE, CHEHALIS, WA 98532-3624
(360) 807-7245
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 00000874
WA
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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