Individual
JOHN STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2975 RIVER RD S, SALEM, OR 97302-9754
(503) 400-6110
(503) 400-7956
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8869
OR
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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