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1992055206
EMILY G ANTONISHEN
CORVALLIS, OR
NPI
1992055206
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Former Name
EMILY G COLLINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 06907)
Enumeration Date
2012-09-13
Last Update Date
2014-11-05
Business Address
Ms. EMILY G ANTONISHEN D.P.T.
2350 NW CENTURY DR STE 100
CORVALLIS, OR 97330-3495
Phone number: 541-754-1265
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Mailing Address
Ms. EMILY G ANTONISHEN D.P.T.
444 NW ELKS DR
CORVALLIS, OR 97330-3745
Phone number: 541-754-1150
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