BRIAN TA

PORTLAND, OR
NPI1689390973
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: OR  63951)
Enumeration Date2022-10-18
Last Update Date2022-10-18
Business Address
BRIAN TA PT
1215 SE 8TH AVE STE D
PORTLAND, OR 97214-3497
Phone number: 503-248-0360
Mailing Address
BRIAN TA PT
1215 SE 8TH AVE STE D
PORTLAND, OR 97214-3497
Phone number: 503-248-0360