Individual
BONNIE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4755 S 48TH ST, TACOMA, WA 98409-1919
(253) 475-4611
Mailing address
3821 S 21ST ST, TACOMA, WA 98405-1002
(253) 355-1846
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
WA
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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