STACEY GERSBACH

HERMISTON, OR
NPI1942782206
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  9538)
Enumeration Date2018-09-04
Last Update Date2018-09-04
Business Address
STACEY GERSBACH
600 NW 11TH ST STE E31
HERMISTON, OR 97838-8604
Phone number: 541-667-3657
Mailing Address
STACEY GERSBACH
80011 AGNEW RD
HERMISTON, OR 97838-7138
Phone number: