| NPI | 1326185950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN GROVER Physical Therapist And Owner 503-287-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OR 2270) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2014-11-10 |