# ONTARIO PHYSICAL THERAPY PC

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

## Provider details

- **NPI number:** 1003983602
- **Authorized official:** MR. GLENN DODGE DPT (PRESIDENT)
- **Authorized official phone:** (541) 889-4550

## Contact information

- **Practice address:** 49 NW 1ST ST, SUITE 1, ONTARIO, OR 97914-2468
- **Practice address phone:** (541) 889-4550
- **Practice address fax:** (541) 889-4628
- **Mailing address:** 49 NW 1ST ST, SUITE 1, ONTARIO, OR 97914-2468
- **Mailing address phone:** (541) 889-4550
- **Mailing address fax:** (541) 889-4628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 3474 | OR | — |
| 225X00000X | Occupational Therapist | 981352 | OR | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 09/11/2025