Individual
TAMMY LYNN MUSSELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
835 CRATER LAKE AVE, MEDFORD, OR 97504-6505
(541) 345-6199
Mailing address
340 S GROVELAND AVE, MEDFORD, OR 97504-8017
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/18/2015
Last updated
04/18/2015
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