| NPI | 1023609435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOSHANNA DANICA LEWIS Physical Therapist 971-205-2630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-02-17 |