ALICIA M MIRANDA

WEST LINN, OR
NPI1780901959
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA 14848)
Additional Taxonomies225700000X Massage Therapist
(Licence: FL  MA41682)
225700000X Massage Therapist
(Licence: OR  24185)
Enumeration Date2010-04-28
Last Update Date2024-10-13
Business Address
ALICIA M MIRANDA LMT, COTA (ret)
22000 WILLAMETTE DR STE 107
WEST LINN, OR 97068-3210
Phone number: 503-476-1217
Mailing Address
ALICIA M MIRANDA LMT, COTA (ret)
20070 LARKSPUR LN APT 66
WEST LINN, OR 97068-2381
Phone number: 727-686-6848