| NPI | 1720395957 |
|---|---|
| Doing Business As | TAI - CENTRAL OREGON ATHLETIC CLUB OF BEND |
| Entity Type | Organization |
| Authorized Contact | TOOD GIFFORD Chief Operating Officer 800-219-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2012-10-29 |