| NPI | 1174567952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL EDWARD BLACKWELL President 541-923-1436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 0908) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-08-20 |