JENISE LYNN AXBERG

CRESWELL, OR
NPI1386955953
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  8716)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: CA  AT 3837)
Enumeration Date2010-06-28
Last Update Date2011-08-09
Business Address
-- JENISE LYNN AXBERG PTA
525 S 2ND ST
CRESWELL, OR 97426-9508
Phone number: 541-895-3333
Mailing Address
-- JENISE LYNN AXBERG PTA
PO BOX 426 150 N. MILL ST
CRESWELL, OR 97426-0426
Phone number: 707-954-7660