NPI | 1407037146 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN J CASPER President 503-885-2199 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 0777) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 1583) |
225100000X Physical Therapist (Licence: OR 1052) | |
Enumeration Date | 2007-11-23 |
Last Update Date | 2011-04-08 |