| NPI | 1215295274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT HOLLAND Owner 503-208-6278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2022-08-17 |