Individual
INGRID EMATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
760 SPRING ST, MEDFORD, OR 97504-6131
(541) 773-7718
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
60047
OR
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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