Individual
DOMINIQUE ANNE LEFIEVRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1333 N 1ST ST, SPRINGFIELD, OR 97477-3002
(541) 736-2728
Mailing address
1333 N 1ST ST, SPRINGFIELD, OR 97477-3002
(541) 736-2728
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09132
OR
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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