NPI | 1225014517 |
---|---|
Doing Business As | TAI SCAPPOOSE PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | TODD ROBERT GIFFORD Information Systems Director 503-443-6156 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2005-12-19 |
Last Update Date | 2012-10-29 |