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Individual

RACHEL PANETTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
12948 SE WINSTON RD, DAMASCUS, OR 97089-7606
(503) 895-1320
Mailing address
12948 SE WINSTON RD, DAMASCUS, OR 97089-7606

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60846
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2056821
WA
Enumeration date
01/03/2016
Last updated
03/26/2019
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