Individual
ELIZABETH ZASTROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
610 SUNSET DR, LA GRANDE, OR 97850-1269
(651) 963-1437
Mailing address
1004 11TH ST, LA GRANDE, OR 97850-2812
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5093
OR
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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