# DELIA SMITH PHYSICAL THERAPY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902113459
- **Authorized official:** MELISSA Y ARAKELIAN OTR/L (OWNER)
- **Authorized official phone:** (541) 621-9373

## Contact information

- **Practice address:** 24 MYRTLE ST, MEDFORD, OR 97504-7338
- **Practice address phone:** (541) 621-9373
- **Practice address fax:** (866) 746-1959
- **Mailing address:** PO BOX 3333, ASHLAND, OR 97520-0312
- **Mailing address phone:** (541) 621-9373
- **Mailing address fax:** (866) 746-1959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 3776 | OR | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/04/2010
- **Last updated:** 11/25/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 6444350001 | PTAN | OR |