Individual
COTY LEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
21525 HWY 410 E STE B, BONNEY LAKE, WA 98391-4101
(253) 825-8520
Mailing address
21525 HWY 410 E STE B, BONNEY LAKE, WA 98391-4101
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT60915362
WA
Other
Enumeration date
02/26/2019
Last updated
03/01/2019
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