KELLY MARIE WACHTL

PORTLAND, OR
NPI1902019847
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  5255)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
-- KELLY MARIE WACHTL DPT
4805 NE GLISAN ST INPATIENT REHABILITATION SERVICES
PORTLAND, OR 97213-2933
Phone number: 503-215-6059
Mailing Address
-- KELLY MARIE WACHTL DPT
6601 N DELAWARE AVE
PORTLAND, OR 97217-5309
Phone number: 503-545-6971
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