Individual
MR. CURTIS EDWARD HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1045 S 308TH ST, FEDERAL WAY, WA 98003-4706
(253) 946-2273
Mailing address
1045 S 308TH ST, FEDERAL WAY, WA 98003-4706
(253) 946-2273
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 60241819
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC 60241819
DEPARTMENT OF HEALTH
WA
Enumeration date
10/11/2011
Last updated
10/11/2011
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