NPI 1578985461

Dana Agenbroad

Practitioner Occupational Therapy Assistant Springfield, OR

Practice location

Address: 1333 N 1st St, Springfield, OR 97477-3002
Phone: (541) 736-2728
Mailing address: 1358 32nd St, Springfield, OR 97478-5523

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 1048112 (OR)

Other Occupational Therapy Assistant providers in Oregon →

Registry record

NPI: 1578985461
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jan 2014
Record last updated: 10 Jan 2014

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.