| NPI | 1760123764 |
|---|---|
| Doing Business As | SALEM SPORTSCARE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DOMONIQUE RUSCITTI Billing & Contracting Specialist 971-274-2861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-06-08 |