Yvette Provosty
Yvette Provosty is a Physical Therapist in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2017.
- Licensed in
- OR
- In the registry since
- 2017
Practice location Address checks out
400 Crater Lake AveMedford, OR 97504-6808
Phone: (541) 613-6505
Fax: (541) 770-9212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 04969 (OR) |
|---|
Record details
| NPI number | 1689105454 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 23, 2017 |
| Last updated in NPPES | March 23, 2017 |
| Mailing address | 610 High St, Oregon City, OR 97045-2241 |
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Susan Reynolds, PT
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