Individual
KIRSTEN MAMIE FERTIG RADEMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1650 SW 45TH PL, CORVALLIS, OR 97333-1768
(541) 368-4313
(541) 758-1030
Mailing address
1650 SW 45TH PL, CORVALLIS, OR 97333-1768
(541) 368-4313
(541) 758-1030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
366312
OR
Other
Enumeration date
10/25/2016
Last updated
10/01/2019
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