| NPI | 1659353035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE WARNOCK Business Manager 541-962-0830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 3006) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2012-06-12 |