KELLY SIEVERS

MILWAUKIE, OR
NPI1487170478
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.003044)
Enumeration Date2017-08-21
Last Update Date2017-08-21
Business Address
Mrs. KELLY SIEVERS PTA
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 971-206-5250
Mailing Address
Mrs. KELLY SIEVERS PTA
HC 61 BOX 60
HARDIN, IL 62047-9718
Phone number: 618-576-2870
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