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Active Recovery And Manual Physical Therapy, LLC

Clinic/Center, Physical Therapy in Portland, OR. Organization (NPI-2).

NPI number1669887691
StatusActive
Last updated in NPPESJun 28, 2014

Details

NPI
1669887691
Entity type
Organization (NPI-2)
Legal business name
Active Recovery And Manual Physical Therapy, LLC
Organization subpart
No
Enumeration date
Jun 28, 2014
Last updated
Jun 28, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2000X Clinic/Center, Physical Therapy––Yes

Practice location

12014 Se Schiller St
Portland, OR 97266-3258

Phone 541-337-0171

Mailing address

12014 Se Schiller St
Portland, OR 97266-3258

Authorized official

Paulie Heisel
Owner, Pta
5413370171

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