| NPI | 1902935414 |
|---|---|
| Former Legal Business Name | MIGHTY OAKS DEVELOPMENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | TAMI M WALTERS Executive Director 541-967-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |