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Individual

MS. PATRICIA ESTELLE KELSO OCEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSOT, OTR/L, LMT,

Contact information

Practice address
404 7TH AVE SE, OLYMPIA, WA 98501-1457
(360) 507-0524
Mailing address
3136 PEAR ST SE, OLYMPIA, WA 98501-3536
(360) 507-0524

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA00016377
WA
225X00000X
Occupational Therapist
Primary
OT60378531
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
161131
LABOR AND INDUSTRIES
WA
Enumeration date
01/09/2007
Last updated
03/17/2018
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