Individual
MR. RONALD WAYNE BABCOCK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
61765 STONE HAVEN LN, LA GRANDE, OR 97850-9505
(541) 962-9529
(541) 975-2720
Mailing address
61765 STONEHAVEN LN, LA GRANDE, OR 97850
(541) 962-9529
(541) 975-2720
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3765
OR
Other
Enumeration date
07/10/2006
Last updated
03/19/2013
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