Individual
LIVIA M VANLOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
56881 ENTERPRISE DRIVE, SUNRIVER, OR 97707
(541) 593-8535
(541) 593-0316
Mailing address
1856 PROVIDENCE, BEND, OR 97701
(541) 318-6278
(541) 593-0316
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4933
OR
Other
Enumeration date
07/14/2006
Last updated
09/21/2009
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