Individual
MRS. SHANNON EVETTE TARTAGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
13301 SE 79TH PL UNIT A406, NEWCASTLE, WA 98059-3236
(425) 687-7691
(425) 793-4594
Mailing address
13301 SE 79TH PL UNIT A406, NEWCASTLE, WA 98059-3236
(425) 687-7691
(425) 793-4594
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC0001169
WA
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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