| NPI | 1609934504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER B BRADSHAW Physical Therapist Business Owner 541-482-3126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 2192) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2019-02-01 |