PATRICIA NEIDVIECKY

FARGO, ND
NPI1114382587
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2015-12-29
Last Update Date2021-06-24
Business Address
PATRICIA NEIDVIECKY COTA/L
3102 UNIVERSITY DR S
FARGO, ND 58103-6099
Phone number: 701-293-7750
Mailing Address
PATRICIA NEIDVIECKY COTA/L
25117 SW PARKWAY AVE, SUITE D
WILSONVILLE, OR 97070
Phone number: 971-224-2040