Individual
KELLY BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
237 DENNIS ST SE, TUMWATER, WA 98501
(360) 709-7200
Mailing address
621 LINWOOD AVE SW, TUMWATER, WA 98512-8499
(360) 709-7000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60417242
WA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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