| NPI | 1699485888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT JACK HOGGARTH Physical Therapy Assistant 541-892-6708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2023-02-16 |