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Jenise Axberg, PTA
NPI 1386955953 · on the registry since 2010
Practice
- Address
- 525 S 2nd St
Creswell, OR 97426 - Phone
- (541) 895-3333
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
- Licence states on file
- CA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-08-09
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