| NPI | 1255882635 |
|---|---|
| Doing Business As | SOUTHSIDE PHYSICAL THERAPY, INC |
| Entity Type | Organization |
| Authorized Contact | JONATHAN P SAMPSON President/Owner 541-388-2681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 16869140) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2024-05-17 |