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Individual

MAUREEN BROWNFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
4755 S 48TH ST, TACOMA, WA 98409-1919
(253) 475-4611
Mailing address
4755 S 48TH ST, TACOMA, WA 98409-1919
(253) 475-4611

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60584909
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OC60584909
DOH WASHINGTON
WA
Enumeration date
12/28/2015
Last updated
12/28/2015
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