| NPI | 1679766448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH WADE ANDERSON Owner 541-767-3794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: OR 4386) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2008-11-24 |