Individual provider · Type 1 NPI

Tara Dewaele, COTA/L

Specialist · Kent, WA

NPI number 1871844274 Active

Practice location

12033 SE 256th St
Kent, WA 98030-6503

Call (253) 373-7513 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XOC00001040 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1871844274

Tara Dewaele, COTA/L's National Provider Identifier is 1871844274, issued on Sep 25, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Kent, WA. The record was last updated on Sep 25, 2012.