GAELEN WATT

CLACKAMAS, OR
NPI1124412366
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  63280)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-03-25
Last Update Date2019-09-18
Business Address
Mr. GAELEN WATT DPT
10121 SE SUNNYSIDE RD #208
CLACKAMAS, OR 97015
Phone number: 503-794-0103
Mailing Address
Mr. GAELEN WATT DPT
10121 SE SUNNYSIDE RD #208
CLACKAMAS, OR 97015
Phone number: 503-794-0103