LEESA D NYSTROM

MEDFORD, OR
NPI1801896535
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  0775)
Enumeration Date2005-07-22
Last Update Date2007-07-08
Business Address
-- LEESA D NYSTROM PT
924 S RIVERSIDE AVE
MEDFORD, OR 97501-7842
Phone number: 541-773-7678
Mailing Address
-- LEESA D NYSTROM PT
924 S RIVERSIDE AVE
MEDFORD, OR 97501-7842
Phone number: 541-773-7678
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