| NPI | 1528188760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RICHARDSON Compliance Coordinator 541-585-2529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 0965535-8) |
| 225XH1200X Occupational Therapist, Hand (Licence: OR 0965535-8) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2009-04-30 |