Individual
MICHELLE LEEANN FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 NW WALL ST STE 100, BEND, OR 97703-3200
(541) 389-4321
(541) 389-4420
Mailing address
55 NW WALL ST STE 100, BEND, OR 97703-3200
(541) 389-4321
(541) 389-4420
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9877
OR
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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