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Individual

MS. ANGELA MARIE MART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
924 NW PORTLAND AVE, BEND, OR 97701-1628
(503) 939-5204
Mailing address
924 NW PORTLAND AVE, BEND, OR 97701-1628
(503) 939-5204

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
214771
OR

Other

Enumeration date
02/29/2012
Last updated
02/29/2012
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