Individual
LESLIE REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT-LANA
Contact information
Practice address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-7202
Mailing address
PO BOX 550, WHITE SALMON, WA 98672-0550
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
1064233
OR
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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