Individual
MRS. LARA SILVIA DEPIETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1525 12TH ST, SUITE # 7, FLORENCE, OR 97439-9497
(541) 991-1181
Mailing address
1525 12TH ST, SUITE # 7, FLORENCE, OR 97439-9497
(541) 991-1181
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
11651
OR
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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