| NPI | 1063802841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE LYTTLE Owner 971-279-4268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: OR 261QP2000X) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |