| NPI | 1376193425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMONIQUE MARIE RUSCITTI Biller And Contracting Specialist 971-274-2861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |