Stratos Group LLC
Clinic/Center, Physical Therapy in Sherwood, OR. Organization (NPI-2).
NPI number1003357930
StatusActive
Last updated in NPPESMar 10, 2017
Details
- NPI
- 1003357930
- Entity type
- Organization (NPI-2)
- Legal business name
- Stratos Group LLC
- Organization subpart
- No
- Enumeration date
- Mar 10, 2017
- Last updated
- Mar 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Other names
- Evolve Physical Therapy (Doing Business As)
Practice location
20510 Sw Roy Rogers RdSuite 120
Sherwood, OR 97140-9319
Phone 707-841-7718
Mailing address
20510 Sw Roy Rogers RdSuite 120
Sherwood, OR 97140-9319
Phone 707-841-7718
Authorized official
Matthew Lyle Whitaker
Owner
7078417718
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