TWO RIVERS PHYSICAL THERAPY, LLC

PORTLAND, OR
NPI1255473047
Entity TypeOrganization
Authorized ContactC. THOMAS PROVENZANO
Owner
503-445-7878
Organization Subpart ?No
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: OR  38130399)
Enumeration Date2007-02-12
Last Update Date2008-04-10
Business Address
TWO RIVERS PHYSICAL THERAPY, LLC
7522 N LOMBARD ST STE A
PORTLAND, OR 97203-3235
Phone number: 503-445-7878
Mailing Address
TWO RIVERS PHYSICAL THERAPY, LLC
7522 N LOMBARD ST STE A
PORTLAND, OR 97203-3235
Phone number: 503-445-7878