Individual
MAYBELL DE PERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR - L
Contact information
Practice address
2625 KOOS BAY BLVD, HEARTHSIDE REHAB, COOS BAY, OR 97420
(541) 267-2161
Mailing address
2250 VIRGINIA AVE APT 8, NORTH BEND, OR 97459-2172
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1074155
OR
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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