Individual
MS. VIVIAN SARA WESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2205 ASHLAND ST, ASHLAND, OR 97520-1971
(541) 482-0242
Mailing address
1240 KIRK LN, ASHLAND, OR 97520-7317
(213) 200-3464
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8377
OR
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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