| NPI | 1255527636 |
|---|---|
| Doing Business As | PRINEVILLE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | KENNETH W SMITH Owner/Physical Therapist 541-447-6846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 0963) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-10-10 |