Individual
ANGELA KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1901 S 72ND ST STE A-1, TACOMA, WA 98408-1200
(253) 475-4870
(253) 475-4873
Mailing address
6050 TACOMA MALL BLVD STE 300, TACOMA, WA 98409-6828
(253) 581-5200
(253) 581-5203
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60743091
WA
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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