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1407369119
RYAN MATTHEW TEVIS
TACOMA, WA
NPI
1407369119
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Professional Name
RYAN MATTHEW TEVIS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA 60797198)
Enumeration Date
2017-11-16
Last Update Date
2017-11-16
Business Address
MR. RYAN MATTHEW TEVIS COTA/L
630 S PEARL ST
TACOMA, WA 98465-2111
Phone number: 253-671-7300
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Mailing Address
MR. RYAN MATTHEW TEVIS COTA/L
1103 184TH STREET CT E
SPANAWAY, WA 98387-7930
Phone number: 253-222-3244
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