Individual
KEENAN J PHALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 NE 27TH ST, BEND, OR 97701-9548
(360) 622-6488
Mailing address
61813 SE WHITEFISH CT, BEND, OR 97702-8846
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
08/08/2021
Last updated
08/08/2021
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