Individual
ROY DALDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3602 INLAND CT, APARTMENT #4, NORTH BEND, OR 97459-1231
(541) 248-4763
Mailing address
3602 INLAND CT, APARTMENT #4, NORTH BEND, OR 97459-1231
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60438
OR
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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