Individual
RACHAEL DILLAVOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2519 COVE AVE, LA GRANDE, OR 97850-3910
(541) 962-0830
Mailing address
15914 WINGVILLE LN, BAKER CITY, OR 97814-8305
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62282
OR
Other
Enumeration date
06/02/2017
Last updated
04/16/2020
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