| NPI | 1417396581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS TODD SANDERS Co Owner, Director 541-573-1543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 05197) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 03498) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-06-21 |