| NPI | 1962565291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK W DODGEN Physical Therapist 541-412-3717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 3572) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-10-22 |