Mr. Modesto King Andrew Esguerra Formilleza OTR

NPI No. 1285944561 - Occupational Therapist/Physical Rehabilitation

 

Contacts & Locations

Practice Address

  • 735 S 2nd St
    Creswell, Oregon 97426, US
  • Phone: (541) 895-3333

Office Address

  • 4001 Potter St Apt 47
    Eugene, Oregon 97405, US
  • Phone: (541) 912-5595

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Modesto King Andrew Esguerra Formilleza Information

The 1285944561 NPI number belongs to Mr. Modesto King Andrew Esguerra Formilleza OTR. Modesto King Andrew Esguerra Formilleza is an Individual and working at 735 S 2nd St, Creswell OR 97426, you can also contact him via phone number (541) 895-3333. Modesto King Andrew Esguerra Formilleza's specialty is listed as Occupational Therapist/Physical Rehabilitation.

About NPI No.

  • NPI Number: 1285944561 (Individual)
  • Name: Modesto King Andrew Esguerra Formilleza
  • Credential: OTR
  • Individual: Physicians, dentists, nurses, chiropractors, pharmacists, physical therapists, etc.
  • Taxonomy

  • Taxonomy code: 225XP0019X
  • Taxonomy specialization: Occupational Therapist/Physical Rehabilitation
  • Primary taxonomy: Yes
  • License

  • License number: 260743
  • License state: Oregon State License
  • Enumeration date: October 20, 2010
  • Last Update date: October 20, 2010

Modesto King Andrew Esguerra Formilleza is not a Sole Proprietor.

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