Andraya M Matteson COTA/L

NPI 1497093579 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1497093579
Gender Female
Enumeration Date 01/23/2013
Last Updated 01/23/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1215 W LEWIS ST
PASCO WA, 99301-5472, US
Phone (509) 543-6703
Fax
Business Location
8180 W 4TH AVE
P204
KENNEWICK WA, 99336-8596, US
Phone (575) 640-2210
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Washington
License Number OC 60181127
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According to our database, Ms. Andraya M Matteson COTA/L NPI is 1497093579, taxonomy code is 224Z00000X and license number is OC 60181127, license state is located at Washington. Andraya M Matteson COTA/L physically located at 1215 W Lewis St, Pasco WA, 99301-5472. NPI Number Andraya M Matteson COTA/L has the Individual type.

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1497093579 NPI number is provided on an as is basis without warranty of any kind. 1497093579 is maintained by the National Plan & Provider Enumeration System. The contents of Andraya M Matteson COTA/L are for informational purposes only.