ALBERT FREDERICK VANTINE

TIGARD, OR
NPI1790118495
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  8864)
Enumeration Date2013-08-16
Last Update Date2013-08-16
Business Address
-- ALBERT FREDERICK VANTINE PTA
7320 SW HUNZIKER ST STE 203
TIGARD, OR 97223-2301
Phone number: 888-317-1019
Mailing Address
-- ALBERT FREDERICK VANTINE PTA
955 SUNMIST CT SE
SALEM, OR 97306-1201
Phone number: 541-961-0137