Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 391640 | OR |
NPI | 1477215176 |
---|---|
Provider Name | Savel Kelsey Sabol |
First Address | Wilsonville, OR 97070-9697 |
Second Address | Portland, OR 97202-3495 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2021 |
Last Update Date | 10/10/2021 |