Individual
SIERRA OLYMPIA ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5030 ANCHOR WAY STE 6, CHRISTIANSTED, VI 00820-4692
(340) 473-5924
(866) 411-7667
Mailing address
5030 ANCHOR WAY STE 6, CHRISTIANSTED, VI 00820-4692
(340) 473-5924
(866) 411-7667
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
459887
NATIONAL BOARD OF OCCUPATIONAL THERAPY
—
Enumeration date
08/28/2021
Last updated
08/28/2021
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