Individual
CHRISTINE ELIZABETH COFFARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
25760 SE 40TH ST, ISSAQUAH, WA 98029-7760
(630) 437-1594
Mailing address
25760 SE 40TH ST, ISSAQUAH, WA 98029-7760
(630) 437-1594
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 00002838
WA
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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