Individual
RODNEY JAMES DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
66642 E BAY RD SPC 76, NORTH BEND, OR 97459-8290
(920) 538-4981
Mailing address
66642 E BAY RD SPC 76, NORTH BEND, OR 97459-8290
(920) 538-4981
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
999962
OR
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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