Individual
JESSICA M LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5167 RIVER RD N, KEIZER, OR 97303-5349
(503) 967-7874
(503) 967-7871
Mailing address
5167 RIVER RD N, KEIZER, OR 97303-5349
(503) 967-7874
(503) 967-7871
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62771
OR
225100000X
Physical Therapist
62771
—
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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