Individual
JEROLD LEE GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1401 BRYANT WILLIAMS DR, KLAMATH FALLS, OR 97601-7151
(541) 882-6691
Mailing address
222 W OREGON AVE, KLAMATH FALLS, OR 97601-1450
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
347776
OR
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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