TRISHA DANIELLE BACON

COOS BAY, OR
NPI1538475140
Former NameTRISHA DANIELLE MACCONNELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: OR  06890)
Enumeration Date2010-08-20
Last Update Date2014-07-24
Business Address
-- TRISHA DANIELLE BACON DPT
2645 N 17TH ST
COOS BAY, OR 97420
Phone number: 541-266-3658
Mailing Address
-- TRISHA DANIELLE BACON DPT
2645 N 17TH ST
COOS BAY, OR 97420
Phone number: 541-266-3658
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