Individual
DEBORAH MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
781 BLACK OAK DR, SUITE 102, MEDFORD, OR 97504-9502
(541) 789-4236
(541) 789-5965
Mailing address
100 E MAIN ST, SUITE C, MEDFORD, OR 97501-6041
(541) 789-5526
(541) 789-5203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1020
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228741
—
OR
Enumeration date
03/02/2007
Last updated
07/08/2007
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