| NPI | 1821096033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANNE CRANDALL Doctor Of Natural Science, 541-772-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |