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Individual

DR. EMMELINE DIANA TALBOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
1865 SUMMER PL, TALENT, OR 97540-8706
(406) 274-2616

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0006665
CO

Other

Enumeration date
03/05/2021
Last updated
03/05/2021
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