Sequoia Lavoy, PT | |
2521 Boone Rd Se # 100, Salem, OR 97306-9391 | |
(503) 585-5131 | |
Not Available |
Full Name | Sequoia Lavoy |
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Gender | Female |
Speciality | Physical Therapist |
Location | 2521 Boone Rd Se # 100, Salem, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053062968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 64356 (Oregon) | Primary |
Provider Name | Northwest Rehabilitation Associates Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972505790 PECOS PAC ID: 5991753592 Enrollment ID: O20050111000263 |
Mailing Address | Practice Location Address |
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Sequoia Lavoy, PT 685 36th Ave Ne, Salem, OR 97301-4741 Ph: (503) 585-5131 | Sequoia Lavoy, PT 2521 Boone Rd Se # 100, Salem, OR 97306-9391 Ph: (503) 585-5131 |
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