IndividualActive
Alice Coles, COTA/L
NPI 1063763373 · Occupational Therapy Assistant · Enumclaw, WA
Provider details
- NPI number
- 1063763373
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- OC 00000559 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2929 Mcdougall Ave
Enumclaw, WA 98022-7410
Phone: (306) 802-7100
Approximate (ZIP-level) locationGet directions
Mailing address
12617 215th Avenue Ct E
Bonney Lake, WA 98391-7648
Registry dates
- Enumerated
- 2012-09-26
- Last updated
- 2012-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.