| NPI | 1760648950 |
|---|---|
| Doing Business As | TAI - SOUTHEAST PORTLAND PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | TODD GIFFORD Information Systems Director 800-219-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2023-05-22 |