| NPI | 1912129073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE KENNEDY-LEARY Physical Therapist 541-312-2252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |