Provider Demographics
NPI:1932850146
Name:ORDONA, SIERRA L (COTA/L, CLT)
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:L
Last Name:ORDONA
Suffix:
Gender:F
Credentials:COTA/L, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 SW 144TH PL
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-1061
Mailing Address - Country:US
Mailing Address - Phone:206-255-2881
Mailing Address - Fax:
Practice Address - Street 1:1416 SW 144TH PL
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-1061
Practice Address - Country:US
Practice Address - Phone:206-255-2881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOC00001154224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant