Individual
MS. WENDY POLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1966 MADRAS ST SE APT 1082, SALEM, OR 97306
(503) 999-7957
Mailing address
1966 MADRAS ST SE APT 1082, SALEM, OR 97306
(503) 999-7957
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2650
OR
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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