Individual
KATHERINE NADINE VICTORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1460 G ST, SPRINGFIELD, OR 97477-4112
(541) 744-8474
Mailing address
1794 CARRIAGE PL, SPRINGFIELD, OR 97477-6530
(541) 747-8510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1143
OR
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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