Individual
MRS. MARY C FICKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2783 RIDGEWAY DR SE, TURNER, OR 97392-9370
(541) 913-4740
Mailing address
2783 RIDGEWAY DR SE, TURNER, OR 97392-9370
(541) 913-4740
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
306415
OR
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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