| NPI | 1841685674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN GORMAN Physical Therapist/Owner 541-535-7019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 03975) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-10-26 |