Individual
SUZANNE R WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2301 N MILDRED, TACOMA, WA 98406
(253) 571-1000
Mailing address
PO BOX 1357, TACOMA, WA 98401-1357
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00000127
WA
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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