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Jaclyn Noel Spataro Warren, COTA

Occupational Therapy Assistant in Milwaukie, OR. Individual provider (NPI-1).

NPI number1366802423
StatusActive
Last updated in NPPESMar 2, 2016

Details

NPI
1366802423
Entity type
Individual (NPI-1)
Name
Jaclyn Noel Spataro Warren
Credential
COTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 2, 2016
Last updated
Mar 2, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant057004276ILYes

Practice location

4560 Se International Way
Ste 100
Milwaukie, OR 97222-4628

Phone 971-206-5102

Mailing address

4560 Se International Way
Ste 100
Milwaukie, OR 97222-4628

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