Individual
MS. CHRISTINE GUTBERLET MCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
140 S MARION AVE, BREMERTON, WA 98312-3639
(360) 479-4747
(360) 478-6246
Mailing address
PO BOX 572, MANCHESTER, WA 98353-0572
(360) 871-4468
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OCOOOOO929
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4111589
MCD
WA
Enumeration date
06/29/2007
Last updated
07/08/2007
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