Individual
ANNIKA TRIPLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4062 ARLETA AVE NE, KEIZER, OR 97303-4758
(503) 576-4036
Mailing address
4062 ARLETA AVE NE, KEIZER, OR 97303-4758
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
002200
IA
225X00000X
Occupational Therapist
Primary
291769
OR
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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