REVIVE PHYSICAL THERAPY LLC

PORTLAND, OR
NPI1457819534
Entity TypeOrganization
Authorized ContactKENTON MARC BROOK
President
503-691-2723
Organization Subpart ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
Enumeration Date2019-03-07
Last Update Date2019-03-07
Business Address
REVIVE PHYSICAL THERAPY LLC
18019 SW LOWER BOONES FERRY RD
PORTLAND, OR 97224
Phone number: 503-691-2723
Mailing Address
REVIVE PHYSICAL THERAPY LLC
18019 SW LOWER BOONES FERRY RD
PORTLAND, OR 97224
Phone number: 503-691-2723
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