| NPI | 1114347549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA SHELTON Physical Therapist/Owner 541-908-1943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |