| NPI | 1407044191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN M GREENE Office Manager 541-482-9051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4792) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |