Individual
CHRISTINE J. CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6220 S ALASKA ST, TACOMA, WA 98408-1317
(253) 476-5365
Mailing address
17305 33RD STREET CT E, LAKE TAPPS, WA 98391-9118
(253) 380-6656
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
WA
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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