ELYSE AMANDA SMITH

MEDFORD, OR
NPI1114690625
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OR  357472)
Enumeration Date2021-07-29
Last Update Date2021-07-29
Business Address
ELYSE AMANDA SMITH COTA/L
835 CRATER LAKE AVE
MEDFORD, OR 97504-6505
Phone number: 541-773-7717
Mailing Address
ELYSE AMANDA SMITH COTA/L
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 971-364-0611
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