EMMA FAITH WILLIS

MEDFORD, OR
NPI1497441117
Former NameEMMA FAITH TILTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OR  478687)
Additional Taxonomies146N00000X Emergency Medical Technician, Basic
(Licence: VA  E3175145)
Enumeration Date2023-04-14
Last Update Date2024-07-15
Business Address
Miss EMMA FAITH WILLIS COTA/L
400 CRATER LAKE AVE
MEDFORD, OR 97504-6808
Phone number: 541-613-6505
Mailing Address
Miss EMMA FAITH WILLIS COTA/L
113 N ELM ST
CANBY, OR 97013-3519
Phone number: 503-263-8903