Wellbody Therapeutics, Llc | |
2195 Ne Professional Ct Suite # 6 Bend OR 97701-6028 | |
(541) 390-4361 | |
(541) 322-9398 |
Full Name | Wellbody Therapeutics, Llc |
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Speciality | Clinic/Center |
Location | 2195 Ne Professional Ct, Bend, Oregon |
Authorized Official Name and Position | Amy L Lafferty (OWNER, PROVIDER) |
Authorized Official Contact | 5413904361 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellbody Therapeutics, Llc 2195 Ne Professional Ct Suite # 6 Bend OR 97701-6028 Ph: (541) 390-4361 | Wellbody Therapeutics, Llc 2195 Ne Professional Ct Suite # 6 Bend OR 97701-6028 Ph: (541) 390-4361 |
NPI Number | 1821225103 |
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Provider Enumeration Date | 06/15/2009 |
Last Update Date | 06/15/2009 |
Medicare PECOS PAC ID | 6800947326 |
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Medicare Enrollment ID | O20090623000770 |
Identifier | Type | State | Issuer |
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1821225103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | 979838 (Oregon) | Primary |
Provider Name | Amy L Lafferty |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851415921 PECOS PAC ID: 9638220155 Enrollment ID: I20090623000762 |
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