Individual
LUKE COLUSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 ANDOVER PARK E, TUKWILA, WA 98188-2915
(206) 420-3967
Mailing address
3815 NE 4TH ST APT D110, RENTON, WA 98056-4152
(541) 406-0092
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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