Andrea Rae Icenogle
NPI #1982939179 in Beaverton, Oregon
Provider Information
- NPI Number
- 1982939179
- Entity Type
- Individual
- Name
- Andrea Rae Icenogle
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Oct 6, 2009
- Last Updated
- Oct 6, 2009
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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