| NPI | 1952593980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RICHARDSON Compliance Coordinator 541-585-2529 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2009-03-24 |