MR. Modesto King Andrew Esguerra Formilleza V, OTR

NPI #1285944561 in Creswell, Oregon

Provider Information

NPI Number
1285944561
Entity Type
Individual
Name
MR. Modesto King Andrew Esguerra Formilleza V, OTR
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist - Physical Rehabilitation
Credential
OTR
Enumeration Date
Oct 20, 2010
Last Updated
Oct 20, 2010

Practice Location

Address
735 S 2ND ST
State
Oregon
ZIP Code
97426-7507
Phone
(541) 895-3333

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - Physical RehabilitationPhysical Rehabilitation

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