| NPI | 1447766027 |
|---|---|
| Doing Business As | ROGUE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | NATHAN LEWIS Licensed Physical Therapist 541-301-2499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2021-01-06 |