Provider Demographics
NPI:1992019152
Name:DOWGIERT, ANDRZEJ (COTA)
Entity Type:Individual
Prefix:MR
First Name:ANDRZEJ
Middle Name:
Last Name:DOWGIERT
Suffix:
Gender:M
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1486 MCNEIL ST
Mailing Address - Street 2:
Mailing Address - City:DUPONT
Mailing Address - State:WA
Mailing Address - Zip Code:98327-9752
Mailing Address - Country:US
Mailing Address - Phone:253-238-1759
Mailing Address - Fax:
Practice Address - Street 1:910 16TH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-2943
Practice Address - Country:US
Practice Address - Phone:800-200-0853
Practice Address - Fax:303-573-1298
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOC60142976224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant