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Individual

LARA LEE-REAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
12175 ORRS CORNER RD, DALLAS, OR 97338-9545
(541) 224-3391
Mailing address
12175 ORRS CORNER RD, DALLAS, OR 97338-9545
(541) 224-3391

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1066356
OR

Other

Enumeration date
02/14/2014
Last updated
02/14/2014
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