| NPI | 1679240824 |
|---|---|
| Doing Business As | AGESTRONG TRINITY TERRACE |
| Entity Type | Organization |
| Authorized Contact | PHILLIP G FOGG Owner 971-206-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2024-02-19 |