Individual
JAMIE PRIAULX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
461 GERALD AVE, EUGENE, OR 97404-2402
(541) 688-5309
Mailing address
461 GERALD AVE, EUGENE, OR 97404-2402
(541) 688-5309
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08147
OR
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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