Individual
SANDRA M SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
95 DIVISION AVE STE A, EUGENE, OR 97404-5428
(541) 852-7882
Mailing address
1521 W 24TH PL, EUGENE, OR 97405-1810
(541) 852-7882
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01714
OR
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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