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1003295775
PROACTIVE PHYSICAL THERAPY TUALATIN
TUALATIN, OR
NPI
1003295775
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Entity Type
Organization
Authorized Contact
MICHELLE MCCALL
Billing Director / Credentialing
503-489-6250
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2015-05-27
Last Update Date
2016-02-26
Business Address
PROACTIVE PHYSICAL THERAPY TUALATIN
19255 SW 65TH AVE SUITE 250
TUALATIN, OR 97062-7451
Phone number: 503-545-0526
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Mailing Address
PROACTIVE PHYSICAL THERAPY TUALATIN
1480 NE VILLAGE ST
FAIRVIEW, OR 97024-3827
Phone number: 503-489-6250
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