| NPI | 1821689845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY R EVENS Sole Owner Proprietor 541-285-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2023-09-06 |