SUSAN VIVOLO

PUYALLUP, WA
NPI1952834202
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WA  328588)
Enumeration Date2017-04-04
Last Update Date2017-04-04
Business Address
Ms. SUSAN VIVOLO COTA
400 29TH ST NE
PUYALLUP, WA 98372-6774
Phone number: 206-412-9801
Mailing Address
Ms. SUSAN VIVOLO COTA
12722 SE 312TH ST APT C203
AUBURN, WA 98092-3382
Phone number: 206-412-9801
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