Individual
SARA J ACACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1010 SOUTH 336TH ST.REET, SUITE 210, FEDERAL WAY, WA 98003
(866) 835-8091
Mailing address
14906 12TH AVE E, TACOMA, WA 98445-2673
(253) 468-8905
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 60119295
WA
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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