Outside Movement Physical Therapy
Clinic/Center, Physical Therapy in Bend, OR. Organization (NPI-2).
NPI number1871191981
StatusActive
Last updated in NPPESOct 12, 2020
Details
- NPI
- 1871191981
- Entity type
- Organization (NPI-2)
- Legal business name
- Outside Movement Physical Therapy
- Organization subpart
- No
- Enumeration date
- Oct 12, 2020
- Certification date
- Oct 12, 2020
- Last updated
- Oct 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
1010 Nw Harriman StBend, OR 97703-1912
Phone 802-318-2254
Mailing address
1645 Ne Shepard RdBend, OR 97701-4164
Phone 802-318-2254
Authorized official
Nicole Todisco
Owner/Physical Therapist
8023182254
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All 27 Physical Therapy Clinic/Center providers in Bend · All 6,654 providers in Bend
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