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 |