| NPI | 1730543315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA MARTINEZ Physical Therapist 503-659-1413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 61015) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |