| NPI | 1730915083 |
|---|---|
| Other Name | TSL WELL LLC |
| Entity Type | Organization |
| Authorized Contact | FANCHO FEE STUBBLEFIELD Owner 503-435-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |