Individual
MARY-JEAN PAULITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
5835 NE 122ND AVE, SUITE 135, PORTLAND, OR 97230-1057
(541) 977-2932
Mailing address
PO BOX 17557, PORTLAND, OR 97217-0557
(541) 977-2932
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2721
OR
Other
Enumeration date
08/22/2006
Last updated
09/13/2007
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