| NPI | 1326553652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BALL Owner/Physical Therapist 503-704-6928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: OR 61057) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |