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1770164964
LIFE SPAN OCCUPATIONAL THERAPY LLC
LACEY, WA
NPI
1770164964
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Entity Type
Organization
Authorized Contact
JACQUELINE WATSON
Owner
425-395-6006
Organization Subpart ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2021-04-19
Last Update Date
2021-04-19
Business Address
LIFE SPAN OCCUPATIONAL THERAPY LLC
1240 RUDDELL RD SE
LACEY, WA 98503-5747
Phone number: 425-395-6006
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Mailing Address
LIFE SPAN OCCUPATIONAL THERAPY LLC
PO BOX 4314
SPANAWAY, WA 98387-4020
Phone number: 425-395-6006
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