| NPI | 1851842751 |
|---|---|
| Doing Business As | TAI - SELLWOOD |
| Entity Type | Organization |
| Authorized Contact | TODD GIFFORD Chief Operating Officer 800-219-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-12-05 |