Individual
KRISTA JEANNE GAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3025 SW RESERVOIR RD, REDMOND, OR 97756-9481
(541) 548-5066
(541) 548-8302
Mailing address
2845 SW 37TH CT, REDMOND, OR 97756-8307
(541) 504-6965
(541) 548-8302
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2364
OR
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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