Individual
MRS. PATRICIA A ZENNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
207 FIR ST, LA GRANDE, OR 97850-2626
(541) 624-2000
Mailing address
207 FIR ST, LA GRANDE, OR 97850-2626
(541) 624-2000
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
172M00000X
OR
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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