Individual
MRS. SHALENE MCMURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1135 BIRCH AVE, COTTAGE GROVE, OR 97424-1520
(541) 852-3291
Mailing address
1135 BIRCH AVE, COTTAGE GROVE, OR 97424-1520
(541) 852-3291
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09064
OR
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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