Individual
MRS. EVE WINONA LEDESMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2750 NW HARRISON BLVD, CORVALLIS, OR 97330-5208
(541) 768-4000
Mailing address
315 VINCENT ST, PHILOMATH, OR 97370-9219
(541) 929-2156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5346
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274085
OREGON STATE DMAP
OR
Enumeration date
08/06/2007
Last updated
08/06/2007
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