Pamela Versage

NPI #1548634934 in Philomath, Oregon

Provider Information

NPI Number: 1548634934
Entity Type: Individual
Name: Pamela Versage
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Nov 23, 2015
Last Updated: Nov 23, 2015

Practice Location

Address: 111 NORTH 20TH
City: Philomath
State: Oregon
ZIP Code: 97370
Phone: (541) 368-4313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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