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NPI 1073212924 · Pediatric Occupational Therapist · Roseburg, OR
Provider details
- NPI number
- 1073212924
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Rebecca Moyer, Executive Directory(541) 680-6360
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Physical Therapist2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
2198 Ne Stephens St Ste 101
Roseburg, OR 97470-1410
Phone: (541) 900-1418
Fax: (541) 900-1419
Approximate (ZIP-level) locationGet directions
Mailing address
2198 Ne Stephens St Ste 101
Roseburg, OR 97470-1410
Registry dates
- Enumerated
- 2023-03-01
- Last updated
- 2023-03-01
- Certified
- 2023-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.