Individual
HEATHER DIANE DODGE HASSELSCHWERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1010 SW COAST HWY, SUITE 102, NEWPORT, OR 97365-5288
(541) 265-4252
(541) 265-8914
Mailing address
1010 SW COAST HWY, SUITE 102, NEWPORT, OR 97365-5288
(541) 265-4252
(541) 265-8914
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5955
OR
Other
Enumeration date
06/10/2009
Last updated
08/17/2012
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