NPI 1245923952

Nicole Joyce D Lasquete Bautista, COTAL

Practitioner Occupational Therapy Assistant Kent, WA

Practice location

Address: 12033 SE 256th St, Kent, WA 98030-6643
Phone: (253) 373-7030
Mailing address: 19021 Eagle Ridge Dr E, Bonney Lake, WA 98391-4007

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OC61253538 (WA)

Other Occupational Therapy Assistant providers in Washington →

Registry record

NPI: 1245923952
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 May 2023
Record last updated: 30 May 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.