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Search › Oregon › Physical Rehabilitation Occupational Therapist

Modesto King Andrew Formilleza, OTR

NPI 1285944561 · on the registry since 2010

Practice

Address
735 S 2nd St
Creswell, OR 97426
Phone
(541) 895-3333
Organisation at this address
Orassess Llc
Care Center (Laneco) Inc
Creswell Snf Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
Physical Rehabilitation Occupational Therapist
225XP0019X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-10-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon