Individual
MS. LISA MARIE BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10502 148TH AVE SE, RENTON, WA 98059-4205
(253) 202-5271
Mailing address
10502 148TH AVE SE, RENTON, WA 98059-4205
(253) 202-5271
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60519714
WA
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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