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Organization
MERUU CORE CHOICE REHABILITATION LLC
Active
Organization
MERUU CORE CHOICE REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHOSHANNA DANICA LEWIS DPT (PHYSICAL THERAPIST)
(971) 205-2630
Entity
Organization
Contact information
Practice address
1975 NW 167TH PL # 100-43, BEAVERTON, OR 97006-4908
(971) 205-2630
Mailing address
1975 NW 167TH PL # 100-43, BEAVERTON, OR 97006-4908
(971) 205-2630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
2251E1200X
Ergonomics Physical Therapist
—
NULL
2251E1200X
Ergonomics Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
NULL
2251G0304X
Geriatric Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
NULL
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
01/28/2021
Last updated
02/17/2021
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