MAYANNA LYNNE DETTWYLER

MILWAUKIE, OR
NPI1457831455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OR  406400)
Enumeration Date2018-08-19
Last Update Date2018-08-19
Business Address
MAYANNA LYNNE DETTWYLER COTA/L
10330 SE 32ND AVE
MILWAUKIE, OR 97222-6587
Phone number: 503-513-8600
Mailing Address
MAYANNA LYNNE DETTWYLER COTA/L
1212 SE OAK GROVE BLVD
MILWAUKIE, OR 97267-1073
Phone number: 503-580-8081