| NPI | 1831585033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAECHEL J MASSIE Physical Therapist 503-368-4978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 2437) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |