NPI | 1902249022 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN PATRICK BONICA Owner 503-254-2652 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 1053) |
Enumeration Date | 2013-04-08 |
Last Update Date | 2016-01-13 |