| NPI | 1750420063 |
|---|---|
| Other Name | PETTYGROVE PHYSCIAL THERAPY & SPORTS REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | KELLY A STALLINGS Office Manager 503-228-1306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |