| NPI | 1376992594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KEVIN THOMASON Pwner 541-915-3811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 60894) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2017-04-27 |