Andrijano Kolonic MS, OTR/L

NPI 1740468024 - Occupational Therapist - 225X00000X

NPI Details
NPI 1740468024
Gender Male
Enumeration Date 02/08/2008
Last Updated 02/13/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
24076 SE STARK ST
STE 200
GRESHAM OR, 97030-3373, US
Phone (503) 674-7860
Fax (503) 674-7642
Business Location
6016 SE BREWSTER PL
MILWAUKIE OR, 97267-5159, US
Phone (503) 332-3787
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Nevada
License Number 08-0040
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According to our database, Mr. Andrijano Kolonic MS, OTR/L NPI is 1740468024, taxonomy code is 225X00000X and license number is 08-0040, license state is located at Nevada. Andrijano Kolonic MS, OTR/L physically located at 24076 Se Stark St, Gresham OR, 97030-3373. NPI Number Andrijano Kolonic MS, OTR/L has the Individual type.

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1740468024 NPI number is provided on an as is basis without warranty of any kind. 1740468024 is maintained by the National Plan & Provider Enumeration System. The contents of Andrijano Kolonic MS, OTR/L are for informational purposes only.