MR. MODESTO KING ANDREW ESGUERRA FORMILLEZA V OTR
NPI 1285944561
Occupational Therapist - Physical Rehabilitation in Creswell, OR
About Mr. Modesto King Andrew Esguerra Formilleza V Otr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MODESTO KING ANDREW ESGUERRA FORMILLEZA V OTR (NPI 1285944561) is an individual physical rehabilitation provider in Creswell, Oregon, licensed in Oregon (260743) and active in the NPI registry since October 2010.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Modesto King Andrew Formilleza's NPI number?
The NPI number for Modesto King Andrew Formilleza is 1285944561. It was assigned to this individual provider in the NPPES registry on October 20, 2010.
Where is Modesto King Andrew Formilleza located?
Modesto King Andrew Formilleza practices at 735 S 2nd St, Creswell, OR 97426. The listed phone number is (541) 895-3333.
What is Modesto King Andrew Formilleza's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Physical Rehabilitation, with taxonomy code 225XP0019X.
When was this NPI record last updated?
The NPPES record for Modesto King Andrew Formilleza was last updated on October 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.