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Organization
ACTIVE WELLNESS LLC
Active
Organization
ACTIVE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY STEIN (OT/OWNER)
(541) 286-5445
Entity
Organization
Contact information
Practice address
120 SW 4TH ST STE 170, CORVALLIS, OR 97333-4896
(541) 286-5445
(800) 527-4735
Mailing address
2135 NW EVERGREEN ST, CORVALLIS, OR 97330-1109
(541) 829-9505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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