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Organization

ACTIVE WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PEGGY STEIN (OT/OWNER)
(541) 286-5445
Entity
Organization

Contact information

Practice address
120 SW 4TH ST STE 170, CORVALLIS, OR 97333-4896
(541) 286-5445
(800) 527-4735
Mailing address
2135 NW EVERGREEN ST, CORVALLIS, OR 97330-1109
(541) 829-9505

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
08/27/2019
Last updated
08/27/2019
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