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Individual

PATRICIA ANN AARESTAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.P.T.

Contact information

Practice address
198 S OREGON ST, ONTARIO, OR 97914-2808
(541) 881-1507
(541) 889-0417
Mailing address
PO BOX 237, ONTARIO, OR 97914-0237
(541) 881-1507
(541) 889-0417

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0532
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004513000
BLUE CROSS BLUE SHIELD
OR
05
206367
OR
05
805760700
ID
Enumeration date
11/25/2006
Last updated
09/15/2010
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