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1972151595
ACTIVE WELLNESS LLC
CORVALLIS, OR
NPI
1972151595
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Entity Type
Organization
Authorized Contact
PEGGY STEIN
Ot/Owner
541-286-5445
Organization Subpart ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
ACTIVE WELLNESS LLC
120 SW 4TH ST STE 170
CORVALLIS, OR 97333-4896
Phone number: 541-286-5445
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Mailing Address
ACTIVE WELLNESS LLC
2135 NW EVERGREEN ST
CORVALLIS, OR 97330-1109
Phone number: 541-829-9505
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