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Individual

JENNIFER L SOUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
15871 NW DAIRY CREEK RD, NORTH PLAINS, OR 97133-6108
(503) 647-5020
(503) 647-5020
Mailing address
15871 NW DAIRY CREEK RD, NORTH PLAINS, OR 97133-6108
(503) 647-5020
(503) 647-5020

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
987014
OR

Other

Enumeration date
03/26/2008
Last updated
03/26/2008
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