Individual
CARLA LEDVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 E FULTON ST, NEWBERG, OR 97132-1806
(503) 538-2108
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5723
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
072.0134335
VT
225X00000X
Occupational Therapist
Primary
426176
OR
225X00000X
Occupational Therapist
OT4384
ME
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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