| NPI | 1851700058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREEBORN MONDELLO Physical Therapist 541-951-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 4487) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |