Individual
MS. EILEEN MACKLE TOKUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
732 MAIN ST, PHILOMATH, OR 97370-9725
(541) 929-2255
(541) 929-7055
Mailing address
732 MAIN ST, PO BOX 1360, PHILOMATH, OR 97370-9725
(541) 929-2255
(541) 929-7055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0736
OR
Other
Enumeration date
03/01/2006
Last updated
04/22/2008
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