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1407358013
REBEKAH MARIE HEGEWALD
PORTLAND, OR
NPI
1407358013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 09574)
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
REBEKAH MARIE HEGEWALD PTA
319 NE RUSSET ST
PORTLAND, OR 97211-2815
Phone number: 503-289-5571
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Mailing Address
REBEKAH MARIE HEGEWALD PTA
3916 NE 42ND ST
VANCOUVER, WA 98661-3117
Phone number: 360-772-5041
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