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1518413400
HEATHER LIDDELL
LACEY, WA
NPI
1518413400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA OC60562665)
Enumeration Date
2016-08-30
Last Update Date
2016-08-30
Business Address
-- HEATHER LIDDELL C.O.T.A.
6119 60TH CT SE
LACEY, WA 98513-6472
Phone number: 360-972-5123
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Mailing Address
-- HEATHER LIDDELL C.O.T.A.
6119 60TH CT SE
LACEY, WA 98513-6472
Phone number: 360-972-5123
Copy
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