Individual
ANGELINA I ORIVKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
18504 BOTHELL WAY NE, BOTHELL, WA 98011-1927
(425) 481-1933
(425) 527-6948
Mailing address
18504 BOTHELL WAY NE, BOTHELL, WA 98011-1927
(425) 481-1933
(425) 527-6948
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
OC60239491
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GAB503698
—
WA
Enumeration date
05/17/2018
Last updated
05/17/2018
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