| NPI | 1962488353 |
|---|---|
| Doing Business As | TAI GRANTS PASS PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | TODD ROBERT GIFFORD Information Systems Director 503-443-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2012-10-29 |