Individual
MISS NAOMI SKYLARK MUNICHIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12045 SOUTHEAST STANLEY AVE., MILWAUKIE, OR 97222
(503) 659-2323
(971) 206-5203
Mailing address
4560 SE INTERNATIONAL WAY, STE 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5203
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08837
OR
Other
Enumeration date
05/06/2013
Last updated
07/03/2013
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