Individual
ALICIA C ENDRESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
20818 44TH AVE W STE 270, LYNNWOOD, WA 98036-7709
(425) 672-2716
Mailing address
5013 146TH PL SE, EVERETT, WA 98208-8982
(425) 870-0367
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60921197
WA
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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