MICHAEL JACKSON

TACOMA, WA
NPI1467823104
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WA  OC 60534324)
Enumeration Date2015-10-07
Last Update Date2015-10-07
Business Address
Mr. MICHAEL JACKSON COTA
1913 N OAKES ST APT D
TACOMA, WA 98406-7527
Phone number: 253-223-3590
Mailing Address
Mr. MICHAEL JACKSON COTA
1913 N OAKES ST APT D
TACOMA, WA 98406-7527
Phone number: 253-223-3590
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