Individual
MS. MARCIA DYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5330 ELGIN ST SE, TURNER, OR 97392-9607
(503) 743-1311
Mailing address
5330 ELGIN ST SE, TURNER, OR 97392-9607
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
737
OR
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
737
OR
225XP0200X
Pediatric Occupational Therapist
737
OR
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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