Provider Demographics
NPI:1376933713
Name:STEELE, SAUNDRA (COTA/L)
Entity Type:Individual
Prefix:
First Name:SAUNDRA
Middle Name:
Last Name:STEELE
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 124
Mailing Address - Street 2:
Mailing Address - City:ATHENA
Mailing Address - State:OR
Mailing Address - Zip Code:97813
Mailing Address - Country:US
Mailing Address - Phone:541-310-0081
Mailing Address - Fax:
Practice Address - Street 1:740 HUNT ST
Practice Address - Street 2:
Practice Address - City:ATHENA
Practice Address - State:OR
Practice Address - Zip Code:97813-6069
Practice Address - Country:US
Practice Address - Phone:541-310-0081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR329817224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant