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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENISE LYNN AXBERG, PTA

Active

JENISE LYNN AXBERG, PTA is a Occupational Therapist healthcare provider located in CRESWELL, Oregon. NPI 1386955953 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · CRESWELL, OR

Registration Details

NPI Number
1386955953
Provider Type
Individual
Gender
Female
NPI Issued
Jun 28, 2010 (16.092213564832 yrs)
Last Updated
Aug 9, 2011
Licenses
AT 3837 (CA)
8716 (OR)

Practice Information

Address
525 S 2ND ST
CRESWELL, OR, 974269508
Browse OR providers · Browse ZIP 97426
Phone
5418953333
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.