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1972694875
WILLIAM LAVERTY
MILWAUKIE, OR
NPI
1972694875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 7956)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
WILLIAM LAVERTY PT ASSISTANT
4560 SE INTERNATIONAL WAY CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5140
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Mailing Address
WILLIAM LAVERTY PT ASSISTANT
4560 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222
Phone number: 971-206-5140
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