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Individual

LINDSEY J ROBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
1910 BARNETT ROAD, SUITE 104, MEDFORD, OR 97504
(541) 613-6505
Mailing address
1910 BARNETT ROAD, SUITE 104, MEDFORD, OR 97504
(541) 613-6505

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
294931
OR
225XP0200X
Pediatric Occupational Therapist
0119005659
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4980671
VA
05
500684534
OR
Enumeration date
05/31/2012
Last updated
01/09/2016
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