| NPI | 1073067880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M BODNER Practice Owner/Physical Therapist 541-255-2095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 5500) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2019-07-03 |