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Organization
STRATOS GROUP LLC
Active
Organization
STRATOS GROUP LLC
Active
Other names
Evolve Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LYLE WHITAKER PT (OWNER)
(707) 841-7718
Entity
Organization
Contact information
Practice address
20510 SW ROY ROGERS RD, SUITE 120, SHERWOOD, OR 97140-9319
(707) 841-7718
Mailing address
20510 SW ROY ROGERS RD, SUITE 120, SHERWOOD, OR 97140-9319
(707) 841-7718
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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