Organization
KITES PEDIATRICS OCCUPATIONAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN ROJAS LARRAZABAL OTR/L (DIRECTOR)
(503) 569-3932
Entity
Organization
Contact information
Practice address
3700 RIVER RD N STE 1, KEIZER, OR 97303-5699
(503) 569-3932
Mailing address
PO BOX 624, SALEM, OR 97308-0624
(503) 569-3932
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
584812
OR
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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