Individual
TANYA THERESA GOTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 COLLEGE ST NE, LACEY, WA 98516-5390
(360) 412-4400
Mailing address
305 COLLEGE ST NE, LACEY, WA 98516-5390
(360) 412-4400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60695804
WA
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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