| NPI | 1144609009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE RITA CARLONE Owner/Provider 541-790-2092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 06505) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2018-05-17 |