Stephen Jae Nisewander

NPI #1659867042 in Creswell, Oregon

Provider Information

NPI Number
1659867042
Entity Type
Individual
Name
Stephen Jae Nisewander
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Jul 9, 2018
Last Updated
Jul 9, 2018

Practice Location

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

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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