Individual
ELIUD MIAME NGINYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2800 SOUTH 224TH ST., DES MOINES, WA 98198
(206) 824-0600
(971) 206-5203
Mailing address
4560 SE INTERNATIONAL WAY, STE. 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5203
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60190395
WA
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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