Individual
JOSIE SOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
900 NE 27TH ST, BEND, OR 97701-9548
(504) 401-2167
Mailing address
1559 SW RIMROCK WAY, REDMOND, OR 97756-8657
(504) 401-2167
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
326613
OR
224Z00000X
Occupational Therapy Assistant
4736
CA
Other
Enumeration date
06/19/2019
Last updated
11/03/2022
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