Individual
TERESA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 S 336TH ST, STE 210, FEDERAL WAY, WA 98003-6385
(866) 835-8091
Mailing address
1010 S 336TH ST, STE 210, FEDERAL WAY, WA 98003-6385
(360) 943-1233
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 00000228
WA
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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