KELLIE BYWATER

FOREST GROVE, OR
NPI1538561600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  9062)
Enumeration Date2014-09-20
Last Update Date2014-09-20
Business Address
KELLIE BYWATER
3900 PACIFIC AVE
FOREST GROVE, OR 97116-2226
Phone number: 503-359-0049
Mailing Address
KELLIE BYWATER
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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