Individual
SUSAN J WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
601 N 1ST ST, STAYTON, OR 97383-1704
(503) 769-3123
(503) 769-3176
Mailing address
601 N 1ST ST, STAYTON, OR 97383-1704
(503) 769-3123
(503) 769-3176
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2672
OR
Other
Enumeration date
09/18/2008
Last updated
09/22/2008
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