NPI | 1982001194 |
---|---|
Entity Type | Organization |
Authorized Contact | DARREN BRAULT President/Clinic Owner 503-895-1320 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 60716) |
Enumeration Date | 2014-12-03 |
Last Update Date | 2014-12-03 |