MYLISA ANNE ERVIN

HOOD RIVER, OR
NPI1104049246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: OR  7101)
Additional Taxonomies172M00000X Mechanotherapist
(Licence: WA  MA00013019)
Enumeration Date2007-04-10
Last Update Date2007-08-30
Business Address
MRS. MYLISA ANNE ERVIN LMT
836 ADAMS LOOP
HOOD RIVER, OR 97031-9743
Phone number: 503-319-4785
Mailing Address
MRS. MYLISA ANNE ERVIN LMT
836 ADAMS LOOP
HOOD RIVER, OR 97031-9743
Phone number: 503-319-4785