Organization
PLAY TO GROW DEVELOPMENTAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LEE FERGUSON OTR (OCCUPATIONAL THERAPIST DIRECTOR)
(503) 563-5439
Entity
Organization
Contact information
Practice address
18959 SW 84TH AVE, TUALATIN, OR 97062-9477
(500) 356-3543
(503) 563-5281
Mailing address
18959 SW 84TH AVE, TUALATIN, OR 97062-9477
(500) 356-3543
(503) 563-5281
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
606012
OR
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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