| NPI | 1861737769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LEIGH PHELPS Doctor Of Physical Therapy/Owner 541-399-6961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 5105) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |