| NPI | 1811401672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN LYNNETTE JONES Cpc 541-883-7798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 06505) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2018-03-16 |