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Individual

MS. VICKI J. O'DEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2475 LANCASTER DR NE, SUITE 4, SALEM, OR 97305-4268
(503) 391-7788
(503) 391-6007
Mailing address
4643 47TH AVE NE, SALEM, OR 97305-3112
(503) 391-7788
(503) 391-6007

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
5972
OR

Other

Enumeration date
06/08/2010
Last updated
06/08/2010
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