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-- DINA PEGANOFF -- Physical Therapist A

Individual Provider (NPI-1) Active

Physical Therapist

Provider Information

NPI Number
1518058031
Provider Type
Individual Provider (NPI-1)
Credentials
Physical Therapist A
Status
Active

Contact & Location

Address
3180 NE 3RD AVE, CAMAS, WA, 986072407
Phone
(360) 335-9033
Fax
(360) 335-9035

Specialties & Taxonomies

Physical Therapy Assistant License: OR #8260
Physical Therapist Primary License: WA #60695911

All Addresses

LOCATION

3180 NE 3RD AVE

CAMAS, WA, 986072407

(360) 335-9033

MAILING

16083 SW UPPER BOONES FERRY RD

TIGARD, OR, 972247736

(800) 219-8835