Individual
TINA MARIE WESTLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(541) 732-6619
Mailing address
1036 QUARTZ ST, MEDFORD, OR 97501-8149
(509) 952-6002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0
OR
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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