TED IWAMIZU

GRANTS PASS, OR
NPI1083662399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  4225)
Enumeration Date2006-05-05
Last Update Date2007-07-08
Business Address
Mr. TED IWAMIZU
873 NE 7TH ST
GRANTS PASS, OR 97526-1634
Phone number: 541-474-6955
Mailing Address
Mr. TED IWAMIZU
1440 SE ROGUE DR
GRANTS PASS, OR 97526-4065
Phone number: 541-471-2226