Individual
MRS. JODIE EILEEN DILANSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, M.S.
Contact information
Practice address
625 STEVENS ST, MEDFORD, OR 97504-6719
(541) 864-1872
(541) 864-1878
Mailing address
625 STEVENS ST, MEDFORD, OR 97504-6719
(541) 864-1872
(541) 864-1878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1077124
OR
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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