THOMAS KELLOUGH

BAINBRIDGE ISLAND, WA
NPI1023447356
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WA  0C00000849)
Enumeration Date2013-11-07
Last Update Date2013-11-07
Business Address
-- THOMAS KELLOUGH COTA
835 MADISON AVE N
BAINBRIDGE ISLAND, WA 98110-1700
Phone number: 206-842-4765
Mailing Address
-- THOMAS KELLOUGH COTA
835 MADISON AVE N
BAINBRIDGE ISLAND, WA 98110-1700
Phone number: 206-842-4765
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