| NPI | 1992975650 |
|---|---|
| Doing Business As | PELVIC WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | SHANNON MARIE FORRESTALL Partner/Physical Therapist 503-551-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 3693) |
| Enumeration Date | 2008-03-08 |
| Last Update Date | 2010-11-16 |