Individual
KRETHA STEFANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1609 CARLTON ST, EUGENE, OR 97401-6433
(541) 510-1801
Mailing address
1609 CARLTON ST, EUGENE, OR 97401-6433
(541) 510-1801
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08973
OR
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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