FELICIA DIANE HACKEROTT

TIGARD, OR
NPI1407231160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  09217)
Enumeration Date2015-07-23
Last Update Date2015-07-23
Business Address
-- FELICIA DIANE HACKEROTT PTA
16485 SW PACIFIC HWY
TIGARD, OR 97224-3446
Phone number: 503-620-5141
Mailing Address
-- FELICIA DIANE HACKEROTT PTA
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 888-757-4571
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