Individual
ALEXANDRA LOFDAHL I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17714 80TH STREET KP N, VAUGHN, WA 98394-9005
(253) 318-2872
Mailing address
17714 80TH STREET KP N, VAUGHN, WA 98394-9005
(253) 318-2872
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 60530918
WA
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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