| Mr Modesto King Andrew Esguerra Formilleza V, OTR | |
|
735 S 2nd St, Creswell, OR 97426-7507 | |
| (541) 895-3333 | |
| Not Available |
| Full Name | Mr Modesto King Andrew Esguerra Formilleza V |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist - Physical Rehabilitation |
| Location | 735 S 2nd St, Creswell, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285944561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | 260743 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Modesto King Andrew Esguerra Formilleza V, OTR 4001 Potter St Apt 47, Eugene, OR 97405-4583 Ph: (541) 912-5595 | Mr Modesto King Andrew Esguerra Formilleza V, OTR 735 S 2nd St, Creswell, OR 97426-7507 Ph: (541) 895-3333 |
Brigitte H Galvan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 735 S 2nd St, Creswell, OR 97426 Phone: 541-895-2826 | |
Children First Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 82322 Bear Creek Road, Creswell, OR 97426 Phone: 541-221-7458 Fax: 541-833-2616 |