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1689390973
BRIAN TA
PORTLAND, OR
NPI
1689390973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: OR 63951)
Enumeration Date
2022-10-18
Last Update Date
2022-10-18
Business Address
BRIAN TA PT
1215 SE 8TH AVE STE D
PORTLAND, OR 97214-3497
Phone number: 503-248-0360
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Mailing Address
BRIAN TA PT
1215 SE 8TH AVE STE D
PORTLAND, OR 97214-3497
Phone number: 503-248-0360
Copy
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