| NPI | 1235190950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DEAN KRAUT Managing Member 503-740-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA 602338111) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2008-07-25 |