NPI 1144001314

Raf Corporal, COTAL

Practitioner Occupational Therapy Assistant Kent, WA

Practice location

Address: 12033 SE 256th St, Kent, WA 98030-6643
Phone: (253) 373-7000
Mailing address: 36443 25th Ave S, Federal Way, WA 98003-7111

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OC61297311 (WA)

Other Occupational Therapy Assistant providers in Washington →

Registry record

NPI: 1144001314
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2023
Record last updated: 12 Oct 2023

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.