# CORE PHYSICAL THERAPY AND SPINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003149485
- **Authorized official:** JENNIFER BRASSFIELD PT, DPT (CO-OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (541) 389-6595

## Contact information

- **Practice address:** 336 SW CYBER DR STE 107, BEND, OR 97702-1682
- **Practice address phone:** (541) 389-6595
- **Mailing address:** 336 SW CYBER DR STE 107, BEND, OR 97702-1682
- **Mailing address phone:** (541) 389-6595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 1543 | OR | Yes |

## Other

- **Enumeration date:** 09/16/2009
- **Last updated:** 01/06/2010