Pinnacle Physical Therapy PC
Clinic/Center, Physical Therapy in Keizer, OR. Organization (NPI-2).
NPI number1760675615
StatusActive
Last updated in NPPESJun 10, 2021
Details
- NPI
- 1760675615
- Entity type
- Organization (NPI-2)
- Legal business name
- Pinnacle Physical Therapy PC
- Organization subpart
- No
- Enumeration date
- Aug 23, 2007
- Certification date
- Jun 10, 2021
- Last updated
- Jun 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 4634 | OR | Yes |
Practice location
4025 Cherry Ave NeKeizer, OR 97303-4859
Phone 503-390-9009 · Fax 503-393-0834
Mailing address
4025 Cherry Ave NeKeizer, OR 97303-4859
Phone 503-390-9009 · Fax 503-393-0834
Authorized official
Bobby Ismail
Ceo
2095760710
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