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Organization
WILLAMETTE SPINE CENTER PHYSICAL THERAPY & REHABILITATION, LLC
Active
Organization
WILLAMETTE SPINE CENTER PHYSICAL THERAPY & REHABILITATION, LLC
Active
Other names
WSC Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CHARLES GIBBONS PT (OWNER AND PHYSICAL THERAPIST)
(503) 763-3525
Entity
Organization
Contact information
Practice address
2480 LIBERTY ST NE STE 140, SALEM, OR 97303-6781
(503) 763-3525
(503) 763-3526
Mailing address
2480 LIBERTY ST NE STE 140, SALEM, OR 97303-6781
(503) 763-3525
(503) 763-3526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
07/31/2009
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