Individual
KELLY GOBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3000 SW 32ND STREET, THE HEIGHTS ASSISTED LIVING, REDMOND, OR 97756
(541) 316-8263
Mailing address
719 NE QUINCE AVE, REDMOND, OR 97756-3809
(541) 706-0393
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1006820
OR
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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