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1487170478
KELLY SIEVERS
MILWAUKIE, OR
NPI
1487170478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.003044)
Enumeration Date
2017-08-21
Last Update Date
2017-08-21
Business Address
Mrs. KELLY SIEVERS PTA
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 971-206-5250
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Mailing Address
Mrs. KELLY SIEVERS PTA
HC 61 BOX 60
HARDIN, IL 62047-9718
Phone number: 618-576-2870
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