MARTIN EDWARD SUDAR

LAKE OSWEGO, OR
NPI1407053796
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  7928)
Enumeration Date2007-06-29
Last Update Date2007-07-08
Business Address
-- MARTIN EDWARD SUDAR LPTA
3814 BOTTICELLI ST
LAKE OSWEGO, OR 97035-1303
Phone number: 503-699-8128
Mailing Address
-- MARTIN EDWARD SUDAR LPTA
3814 BOTTICELLI ST
LAKE OSWEGO, OR 97035-1303
Phone number: 503-699-8128
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