Individual
MRS. KIMBERLY SHAWN O'GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2195 W 28TH AVE, EUGENE, OR 97405-1798
(541) 653-8084
Mailing address
2195 W 28TH AVE, EUGENE, OR 97405-1798
(541) 653-8084
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
914163
OR
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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