DANA AGENBROAD

SPRINGFIELD, OR
NPI1578985461
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OR  1048112)
Enumeration Date2014-01-10
Last Update Date2014-01-10
Business Address
-- DANA AGENBROAD
1333 N 1ST ST
SPRINGFIELD, OR 97477-3002
Phone number: 541-736-2728
Mailing Address
-- DANA AGENBROAD
1358 32ND ST
SPRINGFIELD, OR 97478-5523
Phone number: 541-736-0035
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