Most Relevant Information
Provider Data
NPI Number: | 1003198490 |
Provider Name: | HOLLY LINN FRATTAROLI COTA/L |
Entity Type: | Individual |
Taxonomy Code: | 224Z00000X |
Specialty: | Occupational Therapy Assistant |
License Number: | OC00000974 |
Most Important Dates
Enumeration Date: | 09/13/2011 |
Last Updated: | 09/13/2011 |
Provider Practice Location
1010 S 336TH ST STE 210
FEDERAL WAY
WA
980037354
Practice Location Phone/Fax
Phone: | 8888358091 |
Fax: | 8888357102 |
Provider Mailing Location
24855 16TH AVE. S.
DES MOINES
WA
98198
Provider Mailing Phone/Fax
Phone: | 8668358091 |
Fax: | 8888357102 |