Individual
MS. KELLY LOU THARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
525 N SANTIAM HWY, LEBANON, OR 97355-4363
(541) 451-7535
Mailing address
525 N SANTIAM HWY, LEBANON, OR 97355-4363
(541) 451-7535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
278135
OR
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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