| NPI | 1922157007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ALAN RUBY Physical Therapist And Member 541-382-9268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2010-01-11 |