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1245949403
THOMAS CHARLES HARRIS
LAKEWOOD, WA
NPI
1245949403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: 61006958)
Enumeration Date
2022-11-16
Last Update Date
2022-11-16
Business Address
Mr. THOMAS CHARLES HARRIS COTA/L
10903 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499-1341
Phone number: 253-583-5170
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Mailing Address
Mr. THOMAS CHARLES HARRIS COTA/L
326 154TH ST E
TACOMA, WA 98445-1100
Phone number: 253-312-6478
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