Individual
DANIELLE MARIE TOLLEFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
740 NE DALLAS ST, CAMAS, WA 98607-2058
(360) 834-5055
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
1041669
OR
225XG0600X
Gerontology Occupational Therapist
Primary
OT60631742
WA
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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