Individual
ANGEL VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
316 SW 18TH ST, PENDLETON, OR 97801-1831
(541) 310-9558
Mailing address
1297 SW 12TH ST, PENDLETON, OR 97801-9411
(541) 310-9558
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
458137
OR
Other
Enumeration date
04/23/2015
Last updated
06/06/2023
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