Individual
PHILLIP EDWIN SEGURA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
512 MAIN ST E, MONMOUTH, OR 97361-2369
(503) 838-1388
Mailing address
PO BOX 13129, SALEM, OR 97309-1129
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1977
OR
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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