Individual
EDELINA LANZON ESPIRITU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1577 S IVY ST, CANBY, OR 97013-4334
(503) 266-5541
Mailing address
1577 S IVY ST, CANBY, OR 97013-4334
(503) 266-5541
(503) 266-5544
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
350944
OR
Other
Enumeration date
07/04/2017
Last updated
07/04/2017
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