Individual
ANDREA MARIA ATENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5202
Mailing address
763 SE HIGH ST, HILLSBORO, OR 97123-4562
(503) 984-6967
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1016613
OR
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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