Individual
SARAH RAE HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(541) 732-6619
Mailing address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
496364
OR
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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