Individual
MRS. REBECCA LYNN PENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1015 SW REEHER PL, FOREST GROVE, OR 97116-7333
(503) 413-8277
Mailing address
1015 SW REEHER PL, FOREST GROVE, OR 97116-7333
(503) 413-8277
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1076288
OR
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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