Individual provider · Type 1 NPI
Andrea Rae Icenogle
Occupational Therapist · Beaverton, OR
Practice location
663 SW 175th Pl
Beaverton, OR 97006-7909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | 241705 (OR) |
| Occupational Therapist | 225X00000X | 4434 (AZ) |
Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…
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About NPI 1982939179
Andrea Rae Icenogle's National Provider Identifier is 1982939179, issued on Oct 6, 2009. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Beaverton, OR. The record was last updated on Oct 6, 2009.