Individual
TYLER JOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-1432
Mailing address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-1432
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
296843
OR
Other
Enumeration date
09/20/2012
Last updated
04/21/2022
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