Individual
DR. KARISSA MARIE PELSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
2673 TRINITY WAY, GRANTS PASS, OR 97527-6720
(541) 476-1697
Mailing address
2673 TRINITY WAY, GRANTS PASS, OR 97527-6720
(541) 476-1697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4444
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4444
LICENSE
OR
Enumeration date
03/11/2006
Last updated
07/08/2007
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