Individual
ANNA-THERESA MARIA DE ROOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
61114 DEER VALLEY DR, BEND, OR 97702-2581
(541) 420-1698
Mailing address
61114 DEER VALLEY DR, BEND, OR 97702-2581
(541) 420-1698
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19190
OR
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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