| NPI | 1417787136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISSA BOMBERGER Physical Therapist 541-910-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |