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Individual

IVETTE ESCARCEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
3409 NE 62 AVE, APT 55, VANCOUVER, WA 98661
(915) 207-3924
Mailing address
3409 NE 62ND AVE, APT 55, VANCOUVER, WA 98661-0207
(915) 207-3924

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
311748
OR

Other

Enumeration date
08/19/2015
Last updated
08/19/2015
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