MODESTO KING ANDREW FORMILLEZA, OTR

OTR

Physical Rehabilitation Occupational Therapist

NPI: 1285944561Individual

Specialties, Licenses & Credentials

Physical Rehabilitation Occupational TherapistPrimary

Occupational Therapist — Physical Rehabilitation

Code: 225XP0019X

260743(OR)

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Contact & Hours

Address: 735 S 2ND ST
CRESWELL, OR 97426
Phone: (541) 895-3333

Quick Facts

NPI: 1285944561
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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