Individual
ANDREW PETER TONDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
153 JOHNS CT, SHELTON, WA 98584-8225
(360) 427-2575
Mailing address
3906B HOADLY ST SE, TUMWATER, WA 98501-4138
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60798196
WA
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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