Individual
MRS. KRISTINE ELIZABETH DIBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD
Contact information
Practice address
11 E 27TH AVE, EUGENE, OR 97405-3613
(541) 255-2681
Mailing address
1981 BEST LN, EUGENE, OR 97401-5090
(816) 536-6753
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
280739
OR
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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