Orivka, Angelina I

Orivka, Angelina I is an individual health care provider with primary practice located at 18504 Bothell Way Ne , Bothell WA 98011-1927. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification, which is considered as her primary health care specialty. Orivka, Angelina I can be contacted via phone (425) 481-1933.

Contact Information

Primary practice address
18504 Bothell Way Ne Bothell WA 98011-1927
Phone: (425) 481-1933
Fax: (425) 527-6948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification 224ZE0001X OC60239491 Washington

Profile Details

NPI number 1770073496
LBN Legal business name Orivka, Angelina I
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2018
Last updated May 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770073496 NPPES
Washington MEDICAID GAB503698

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