NPI | 1487630257 |
---|---|
Doing Business As | TAI LAKEMONT PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | MELISSA HAMILTON Dir Payer & Provider Relations 503-443-6156 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2005-12-22 |
Last Update Date | 2023-05-23 |