| NPI | 1124532791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA AUDREEN GRENIER Physical Therapist 503-809-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62427) |
| Enumeration Date | 2017-11-19 |
| Last Update Date | 2017-11-19 |