CORY RUSSELL CRECELIUS

EUGENE, OR
NPI1689959348
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  6656)
Enumeration Date2011-10-13
Last Update Date2011-10-13
Business Address
-- CORY RUSSELL CRECELIUS PT
560 COUNTRY CLUB PKWY SUITE B
EUGENE, OR 97401-6043
Phone number: 541-683-5139
Mailing Address
-- CORY RUSSELL CRECELIUS PT
1624 W MAIN ST
JEFFERSON CITY, MO 65109-1243
Phone number: 314-583-5553