Individual
MS. MARGARETH ELIACIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 CRATER LAKE AVE, MEDFORD, OR 97504-6808
(541) 613-6505
(541) 770-9212
Mailing address
113 N ELM ST, CANBY, OR 97013-3519
(503) 263-8903
(503) 266-8632
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
46TR00108300
NJ
224Z00000X
Occupational Therapy Assistant
998979
OR
225X00000X
Occupational Therapist
0072041
NY
225X00000X
Occupational Therapist
46TR00108300
NJ
225X00000X
Occupational Therapist
Primary
998979
OR
Other
Enumeration date
09/13/2010
Last updated
05/04/2023
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