| NPI | 1841824471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE A WENTZEL Owner 541-292-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health |
| 163WP0200X Registered Nurse Pediatrics | |
| 224ZF0002X Occupational Therapy Assistant Feeding, Eating & Swallowing | |
| 2251P0200X Physical Therapist Pediatrics | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |