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Heidi Barth, PTA

Physical Therapy Assistant in Portland, OR. Individual provider (NPI-1).

NPI number1801246780
StatusActive
Last updated in NPPESJun 21, 2016

Details

NPI
1801246780
Entity type
Individual (NPI-1)
Name
Heidi Barth
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 21, 2016
Last updated
Jun 21, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant08679ORYes

Practice location

5119 Ne 57th Ave
Portland, OR 97218-2584

Phone 503-215-8056

Mailing address

4531 Se Belmont St
Suite 100
Portland, OR 97215-1675

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