Individual
SHERI BETH PROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2101 NW PROFESSIONAL DR, SUITE #2, CORVALLIS, OR 97330-3888
(541) 752-0545
(541) 757-0545
Mailing address
2101 NW PROFESSIONAL DR, SUITE #2, CORVALLIS, OR 97330-3888
(541) 752-0545
(541) 757-0545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6996
OR
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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