Individual
CORYNNE L SPERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10324 CANYON RD E STE 203, PUYALLUP, WA 98373-1013
(253) 471-2727
(253) 471-2730
Mailing address
10324 CANYON RD E STE 203, PUYALLUP, WA 98373-1013
(253) 471-2727
(253) 471-2730
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC60964599
WA
225XP0200X
Pediatric Occupational Therapist
OC60964599
WA
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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