KRISTA JEANNE GAULT

REDMOND, OR
NPI1528191301
Former NameKRISTA JEANNE FERGUSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251G0304X Physical Therapist, Geriatrics
(Licence: OR  2364)
Enumeration Date2007-03-13
Last Update Date2007-07-08
Business Address
-- KRISTA JEANNE GAULT PT
3025 SW RESERVOIR RD
REDMOND, OR 97756-9481
Phone number: 541-548-5066
Mailing Address
-- KRISTA JEANNE GAULT PT
2845 SW 37TH CT
REDMOND, OR 97756-8307
Phone number: 541-504-6965
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