Alicia M Miranda, LMT, COTA (RET)

NPI #1780901959 in Lake Oswego, Oregon

Provider Information

NPI Number
1780901959
Entity Type
Individual
Name
Alicia M Miranda, LMT, COTA (RET)
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
LMT, COTA (RET)
Enumeration Date
Apr 28, 2010
Last Updated
Apr 27, 2025

Practice Location

Address
4949 MEADOWS RD STE 140
State
Oregon
ZIP Code
97035-3156
Phone
(503) 305-7244

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant
Massage Therapist

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