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Individual

REBECCA L HARROLD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1619 NW HAWTHORNE AVE, SUITE 109, GRANTS PASS, OR 97526-6008
(541) 476-2502
(541) 476-2397
Mailing address
1619 NW HAWTHORNE AVE, SUITE 109, GRANTS PASS, OR 97526-6008
(541) 476-2502
(541) 476-2397

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
991715
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123534
OR
01
R102653
GROUP MEDICARE
OR
Enumeration date
12/15/2005
Last updated
07/08/2007
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