Organization
INFINITY REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET FAITH M NUESCA OTR/L (OCCUPATIONAL THERAPIST)
(808) 386-0413
Entity
Organization
Contact information
Practice address
11850 SW ALLEN BLVD, BEAVERTON, OR 97005-4805
(503) 646-7164
Mailing address
18780 NW ROCK CREEK CIR, APT 150, PORTLAND, OR 97229-7225
(808) 386-0413
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
277939
OR
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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