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Individual

MRS. MEGAN J WARREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR L

Contact information

Practice address
19130 KLIPPEL RD, BEND, OR 97701-9263
(541) 389-7499
Mailing address
168 CATTLE DR, GRANGEVILLE, ID 83530-5365

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1145
MT
225X00000X
Occupational Therapist
Primary
1385
ID

Other

Enumeration date
02/27/2015
Last updated
02/27/2015
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