| NPI | 1538224084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN K. GESIK Owner 541-988-3337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2018-06-15 |