Individual
TERRI L ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1951 21ST ST, FLORENCE, OR 97439-9771
(530) 520-7593
Mailing address
1050 1ST ST, FLORENCE, OR 97439-9348
(530) 520-7593
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1030790
OR
224Z00000X
Occupational Therapy Assistant
OTA463
CA
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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