Individual
SARA KOWALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD, MHA
Contact information
Practice address
14145 SW 105TH AVE, TIGARD, OR 97224-4808
(503) 639-1144
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/07/2019
Last updated
09/07/2019
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