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Contact Information

KELLY BLISS, COTA/L
237 DENNIS ST SE
TUMWATER, WA98501
 Phone: 360-709-7200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for KELLY BLISS · (Female)

NPI Number 1972380228
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 09/11/2023
Last updated 09/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WA License # OC60417242
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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