SearchWashingtonOccupational Therapy Assistant

Susan Vivolo, COTA

NPI 1952834202 · on the registry since 2017 · sole proprietor

Practice

Address
400 29th St Ne
Puyallup, WA 98372
Phone
(206) 412-9801
Organisation at this address
Revera (Delaware) Llc
400 29th Street Northeast Operations Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-04-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington