DIANE VANGORDER

SALEM, OR
NPI1699959627
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  7975)
Enumeration Date2007-12-27
Last Update Date2007-12-27
Business Address
-- DIANE VANGORDER P.T.A
4120 KURTH ST S
SALEM, OR 97302-2724
Phone number: 503-581-8667
Mailing Address
-- DIANE VANGORDER P.T.A
4120 KURTH ST S
SALEM, OR 97302-2724
Phone number: 503-581-8667
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