Individual
IVANNA BOYKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
516 176TH ST E, SPANAWAY, WA 98387-8335
(253) 800-6000
Mailing address
14328 SE 256TH PL, KENT, WA 98042-3622
(253) 329-3311
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61291172
WA
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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