| NPI | 1841388170 |
|---|---|
| Other Name | CORVALLIS SPORT AND SPINE PT |
| Entity Type | Organization |
| Authorized Contact | KARLA A MOORE Co Owner Corvallis Sport And Spine 541-753-4246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2019-03-11 |