| NPI | 1497445308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL HEIDLING Co Owner 503-841-8144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-05-12 |