Individual
CHARITY IHEANACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3500 HILYARD ST, EUGENE, OR 97405-3867
(541) 684-6719
Mailing address
3500 HILYARD ST, EUGENE, OR 97405-3867
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62534
—
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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