Individual
EVERETT PLOCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
601 N 1ST AVE, STAYTON, OR 97383-1704
(503) 769-3123
(503) 769-3176
Mailing address
279 CHESTNUT ST, LOUISVILLE, CO 80027-2624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63696
OR
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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