| NPI | 1649523077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH H. KENNEY Owner 503-452-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 1554) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 529339) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |