NPI | 1639530249 |
---|---|
Doing Business As | PROMOTION PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | WILLIAM BLAKE MATLOCK Owner 541-390-0523 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 04366) |
Enumeration Date | 2016-03-09 |
Last Update Date | 2016-04-14 |