Individual
MAILA GATDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3959 SHERIDAN AVE, NORTH BEND, OR 97459-2834
(541) 756-4151
Mailing address
3870 BUCCANEER LN, APARTMENT A, NORTH BEND, OR 97459-2484
(541) 297-9936
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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