Organization
THERAPEUTIC LASER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANNE CRANDALL PHD, CLT (DOCTOR OF NATURAL SCIENCE,)
(541) 772-7007
Entity
Organization
Contact information
Practice address
115 W STEWART AVE, MEDFORD, OR 97501-3607
(541) 772-7007
(541) 772-7771
Mailing address
115 W STEWART AVE, MEDFORD, OR 97501-3607
(541) 772-7007
(541) 772-7771
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2005
Last updated
08/22/2020
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