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Individual

BRITTANY ESTUESTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
371 SW UPPER TERRACE DR STE 3, BEND, OR 97702-1560
(541) 316-0805
(541) 241-7670
Mailing address
371 SW UPPER TERRACE DR STE 3, BEND, OR 97702-1560
(541) 316-0805
(541) 241-7670

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62238
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500725277
OR
01
R194452
MEDICARE
OR
Enumeration date
05/11/2017
Last updated
08/06/2024
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