| NPI | 1679907281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S DALE JOHNSTON Owner/Physical Therapist 541-963-9340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 0557) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-08-30 |