Individual
MR. DANIELL ANANDA RUBIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2775 FRIENDLY ST, EUGENE, OR 97405-2254
(541) 510-5734
Mailing address
69 ROSEWOOD AVE, EUGENE, OR 97404-2379
(541) 510-5734
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
6594
OR
Other
Enumeration date
08/16/2011
Last updated
03/28/2012
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