STACEY WAYNE DYKES

MILWAUKIE, OR
NPI1750547139
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  38)
Enumeration Date2008-08-05
Last Update Date2008-08-05
Business Address
Mr. STACEY WAYNE DYKES OTA
4560 SE INTERNATIONAL WAY, SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5200
Mailing Address
Mr. STACEY WAYNE DYKES OTA
4560 SE INTERNATIONAL WAY, SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5200