Individual
SUESAN MARIE COUSINEAU-BOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4680 CORDATA PKWY, BELLINGHAM, WA 98226-8038
(360) 398-1966
Mailing address
4680 CORDATA PKWY, BELLINGHAM, WA 98226-8038
(360) 398-1966
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00001015
WA
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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