NPI | 1538369723 |
---|---|
Doing Business As | THE JUNGLE GYM PEDIATRIC THERAPY CENTER |
Entity Type | Organization |
Authorized Contact | DENA LYNN DIXON Owner/Physical Therapist 541-887-7362 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: OR 2063) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 242685) |
235Z00000X Speech-Language Pathologist, (Licence: OR 12514) | |
Enumeration Date | 2007-07-25 |
Last Update Date | 2015-06-04 |