Individual
TONI COLLENE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23600 MARINE VIEW DR S, DES MOINES, WA 98198-7352
(206) 401-4113
Mailing address
23600 MARINE VIEW DR S, DES MOINES, WA 98198-7352
(206) 401-4113
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
WA
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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