| NPI | 1497005243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ANDREA EMBREE Physical Therapist/S&C Coach 541-639-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 03932) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 3932) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2017-01-26 |