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Individual

MR. DOMINIC MARINUS VANLITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
6633 CHRISTY CT SE, SALEM, OR 97317-9127
(503) 999-3610
Mailing address
6633 CHRISTY CT SE, SALEM, OR 97317-9127
(503) 999-3610

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
982501
OR

Other

Enumeration date
03/22/2010
Last updated
03/22/2010
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