Individual
ANITA FELICITA PLOGHOFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR CHT
Contact information
Practice address
19365 SW 65TH AVE STE 200, TUALATIN, OR 97062-9196
(503) 692-5210
(503) 692-8821
Mailing address
19365 SW 65TH AVE STE 200, TUALATIN, OR 97062-9196
(503) 692-5210
(503) 692-8821
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
426924
OR
225XH1200X
Hand Occupational Therapist
Primary
426924
OR
Other
Enumeration date
07/26/2005
Last updated
12/20/2007
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