Individual
DONNA LYNN DOCKTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4755 S 48TH ST, TACOMA, WA 98409-1919
(253) 475-4611
Mailing address
3220 57TH AVE NE, TACOMA, WA 98422-3249
(206) 407-7667
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
LA60972344
WA
225700000X
Massage Therapist
Primary
MA60193703
WA
Other
Enumeration date
08/27/2019
Last updated
09/28/2020
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