Individual
ALEXANDER PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5202
Mailing address
19712 CORBY AVE, CERRITOS, CA 90703-7409
(562) 472-9274
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5933
CA
Other
Enumeration date
03/11/2022
Last updated
03/27/2025
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