NPI 1104433838

Tyler Huddleston

Practitioner Occupational Therapist Springfield, OR

Practice location

Address: 1333 1st St, Springfield, OR 97477-3002
Phone: (541) 736-2700

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 442184 (OR)

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Registry record

NPI: 1104433838
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2020
Record last updated: 27 Sep 2020

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.