Living Well Therapy, P.C.
Physical Therapist in Bend, OR. Organization (NPI-2).
NPI number1114136017
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1114136017
- Entity type
- Organization (NPI-2)
- Legal business name
- Living Well Therapy, P.C.
- Organization subpart
- No
- Enumeration date
- May 21, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 4226 | OR | Yes |
Other names
- Living Well Therapy, P.C. (Doing Business As)
Practice location
1558 Sw Nancy WaySuite 104
Bend, OR 97702-3216
Phone 541-312-2004 · Fax 541-312-2056
Mailing address
1558 Sw Nancy WaySuite 104
Bend, OR 97702-3216
Phone 541-312-2004 · Fax 541-312-2056
Authorized official
Erik Zamboni
Owner
5413122004
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