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1912688748
LONGEVITY PHYSICAL THERAPY
PORTLAND, OR
NPI
1912688748
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Entity Type
Organization
Authorized Contact
JENNIFER SELLERS
Managing Member/Owner
636-288-0641
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2023-07-25
Last Update Date
2023-07-25
Business Address
LONGEVITY PHYSICAL THERAPY
1655 SE UMATILLA ST
PORTLAND, OR 97202-7212
Phone number: 636-288-0641
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Mailing Address
LONGEVITY PHYSICAL THERAPY
1655 SE UMATILLA ST
PORTLAND, OR 97202-7212
Phone number: 636-288-0641
Copy
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