Individual
MRS. TAMERA JO WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
714 W PINE ST, NEWPORT, WA 99156-9046
(509) 447-9308
(509) 447-9354
Mailing address
P.O. BOX 272, ELK, WA 99009
(509) 447-9308
(509) 447-9354
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60416667
WA
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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