| NPI | 1205587094 |
|---|---|
| Former Legal Business Name | JOY SHANK, PT LLC |
| Entity Type | Organization |
| Authorized Contact | JOY DANIELLE SHANK Owner 503-358-0435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-03-14 |