NPI 1053776617

Staci Ann Corgan, COTA

Practitioner Occupational Therapy Assistant Bend, OR

Practice location

Address: 900 NE 27th St, Bend, OR 97701-9548
Phone: (541) 382-0479

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 344043 (OR)

Other Occupational Therapy Assistant providers in Oregon →

Registry record

NPI: 1053776617
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Dec 2015
Record last updated: 28 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.