Individual
MS. TANYA BORAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5237
Mailing address
551 NE DEWATTO RD, TAHUYA, WA 98588-9481
(360) 372-2527
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 00000642
WA
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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