| NPI | 1003983602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN DODGE President 541-889-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 3474) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 981352) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |