Individual
ANGELA MENCISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2300 WARREN ST, EUGENE, OR 97405-1116
(541) 686-2828
Mailing address
2300 WARREN ST, EUGENE, OR 97405-1116
(541) 686-2828
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
008357
OH
225X00000X
Occupational Therapist
Primary
308464
OR
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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