Individual
MR. LEE LOWELL GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
12550 AURORA AVE N, SEATTLE, WA 98133-8036
(206) 363-7303
(206) 826-1178
Mailing address
12550 AURORA AVE N, SEATTLE, WA 98133-8036
(206) 363-7303
(206) 826-1178
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OCOOOOO764
WA
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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