Individual
BROOKE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, COTA/L
Contact information
Practice address
454 HANSEN RD, WOODLAND, WA 98674-9101
(612) 616-4058
Mailing address
454 HANSEN RD, WOODLAND, WA 98674-9101
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OC60834372
WA
225700000X
Massage Therapist
Primary
MA61340112
WA
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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