-- DANA AGENBROAD --
Individual Provider (NPI-1)
Active
Occupational Therapy Assistant
Provider Information
- NPI Number
1578985461- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1333 N 1ST ST, SPRINGFIELD, OR, 974773002
- Phone
- (541) 736-2728
Specialties & Taxonomies
Occupational Therapy Assistant
Primary License: OR #1048112