| NPI | 1619414661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN SHEFFIELD Account Recovery Specialist 541-639-8761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 106985) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |