-- JENISE LYNN AXBERG -- PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1386955953- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 525 S 2ND ST, CRESWELL, OR, 974269508
- Phone
- (541) 895-3333
Specialties & Taxonomies
Physical Therapy Assistant
License: CA #AT 3837
Physical Therapy Assistant
Primary License: OR #8716