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1114382587
PATRICIA NEIDVIECKY
FARGO, ND
NPI
1114382587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2015-12-29
Last Update Date
2021-06-24
Business Address
PATRICIA NEIDVIECKY COTA/L
3102 UNIVERSITY DR S
FARGO, ND 58103-6099
Phone number: 701-293-7750
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Mailing Address
PATRICIA NEIDVIECKY COTA/L
25117 SW PARKWAY AVE, SUITE D
WILSONVILLE, OR 97070
Phone number: 971-224-2040
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