Individual
ANGELA RAE TENKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
516 MAIN ST, LYNDEN, WA 98264-1326
(360) 354-4443
Mailing address
797 W LAUREL RD, FERNDALE, WA 98248-8886
(360) 393-7446
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
00003366
WA
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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