Individual
MRS. AIMEE ELIZABETH MACDONELL I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1303 NE CUSHING DR, STE 150, BEND, OR 97701-3891
(541) 382-7875
(541) 382-2181
Mailing address
805 SW INDUSTRIAL WAY, STE 3, BEND, OR 97702-1093
(541) 585-2529
(541) 585-2536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1005205
OR
225X00000X
Occupational Therapist
OT00002501
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230787
—
OR
Enumeration date
06/22/2006
Last updated
06/05/2013
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