Individual
CATHY LYNN FREITAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
510 E MAIN ST, ROGUE RIVER, OR 97537-9615
(541) 761-0032
Mailing address
PO BOX 655, ROGUE RIVER, OR 97537-0655
(541) 761-0032
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11632
OR
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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