| NPI | 1386004208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL DAWN OLSON Owner/Operator 541-771-2490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: OR 20452) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |