NPI 1023447356
Thomas Kellough, COTA
Practice location
- Address
- 835 Madison Ave N, Bainbridge Island, WA 98110-1700
- Phone
- (206) 842-4765
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1023447356
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Nov 2013
- Record last updated
- 7 Nov 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.