Individual
LUISA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 D ST, SPRINGFIELD, OR 97477-4596
(541) 747-3331
Mailing address
1023 WATER ST, SPRINGFIELD, OR 97477-3778
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
461220
OR
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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