NPI | 1528387248 |
---|---|
Entity Type | Organization |
Authorized Contact | KENJI CARP Owner/Clinic Director 541-653-9696 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4030) |
Enumeration Date | 2010-05-20 |
Last Update Date | 2015-03-25 |