Individual
MISS MARY TEKLA ADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
945 MCGILCHRIST ST SE, SALEM, OR 97302-2126
(503) 586-3097
Mailing address
945 MCGILCHRIST ST SE, SALEM, OR 97302-2126
(503) 586-3097
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2618
OR
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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