# UPPER ROGUE PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1043575418
- **Authorized official:** ANN MARIE SPRAGUE P.T., D.P.T. (OWNER)
- **Authorized official phone:** (541) 941-5170

## Contact information

- **Practice address:** 21850 HIGHWAY 62 STE 203, SHADY COVE, OR 97539-8715
- **Practice address phone:** (541) 941-5170
- **Practice address fax:** (541) 878-8111
- **Mailing address:** 997 PATTON LN, ASHLAND, OR 97520-9135
- **Mailing address phone:** (541) 941-5170
- **Mailing address fax:** (541) 878-8111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 5137 | OR | Yes |

## Other

- **Enumeration date:** 07/11/2012
- **Last updated:** 03/15/2024