| NPI | 1235534017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYNN CANIZARES Owner 541-345-7532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 08782) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |