Individual
ALEXANDRA F O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4064 NE 14TH AVE, UNIT A, PORTLAND, OR 97212-1315
(614) 747-3477
Mailing address
4064 NE 14TH AVE, UNIT A, PORTLAND, OR 97212-1315
(614) 747-3477
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
315653
OR
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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