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Individual

BETHANY DEJARNATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2358 PTARMIGAN ST NW, SALEM, OR 97304-2411
(503) 480-9812
Mailing address
2358 PTARMIGAN ST NW, SALEM, OR 97304-2411
(503) 480-9812

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
319394
OR

Other

Enumeration date
01/05/2014
Last updated
01/05/2014
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