Individual
LAURA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2690 NE YACHT AVE, LINCOLN CITY, OR 97367-5161
(541) 994-7400
Mailing address
1105 VICKI DR, TOMAH, WI 54660-1780
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
31975
AZ
225100000X
Physical Therapist
Primary
64529
OR
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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