| NPI | 1114429545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DAVID Owner Physical Therapist 503-453-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT024008) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |