Individual
LINDSEY DE LA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
135 MAPLE ST, ASHLAND, OR 97520-1514
(541) 482-4763
Mailing address
135 MAPLE ST, ASHLAND, OR 97520-1514
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
347960
OR
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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