Benjamin Michael Bertrand, P.T.
Physical Therapist in La Grande, OR. Individual provider (NPI-1).
NPI number1124000583
StatusActive
Last updated in NPPESJan 17, 2014
Details
- NPI
- 1124000583
- Entity type
- Individual (NPI-1)
- Name
- Mr. Benjamin Michael Bertrand
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2005
- Last updated
- Jan 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 4176 | OR | Yes |
Practice location
301 4th StLa Grande, OR 97850-1901
Phone 541-963-9340 · Fax 541-962-4562
Mailing address
2508 E O AveLa Grande, OR 97850-3862
Phone 541-962-8483 · Fax 541-963-4562
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All 44 Physical Therapist providers in La Grande · All 679 providers in La Grande
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