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Individual

TASHIA L KERSTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2075 NW HIGHLAND AVE, GRANTS PASS, OR 97526-3310
(541) 476-8891
Mailing address
2075 NW HIGHLAND AVE, GRANTS PASS, OR 97526-3310
(541) 476-8891

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
393224
OR

Other

Enumeration date
03/13/2019
Last updated
03/13/2019
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