Individual
MS. CHARLOTTE ANNA SPERISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
215 SE 6TH ST, 307, GRANTS PASS, OR 97526-2471
(541) 479-9481
Mailing address
215 SE 6TH ST, 307, GRANTS PASS, OR 97526-2471
(541) 479-9481
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3435
OR
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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