NPI | 1770769424 |
---|---|
Former Legal Business Name | FUNCTION DYNAMICS |
Entity Type | Organization |
Authorized Contact | AMY HARRIS GRAY Physical Therapist 503-646-8482 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: OR 2764) |
Enumeration Date | 2008-01-11 |
Last Update Date | 2008-01-11 |