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Individual

DR. ANDREW PARK MIYAZATO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTD

Contact information

Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(805) 883-4000
Mailing address
17519 DAPHNE AVE, TORRANCE, CA 90504-3518
(310) 956-6190

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
CA

Other

Enumeration date
10/23/2023
Last updated
10/23/2023
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