Individual
MRS. TAMI SUE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(541) 732-5000
Mailing address
2503 POWELL ST, MEDFORD, OR 97504-4863
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1070216
OR
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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