| NPI | 1124122205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D. PENNINGTON Ms PT/Owner 541-535-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4031) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2014-04-02 |