Individual
MA. RICCA CUENCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
Mailing address
511 WOODDUCK DR SW, OLYMPIA, WA 98502-2673
(541) 404-0611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00004600
WA
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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