| NPI | 1356709703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN CHILDRESS Business Manager 541-797-3052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 2133) |
| Enumeration Date | 2016-01-31 |
| Last Update Date | 2020-06-24 |