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 |