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Organization
OBSIDIAN PHYSICAL THERAPY, LLC
Active
Organization
OBSIDIAN PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHARINE HOLMER DPT (OWNER/THERAPIST)
(541) 497-1533
Entity
Organization
Contact information
Practice address
2420 NE SHADOW BROOK PL, BEND, OR 97701-6498
(541) 497-1533
Mailing address
2660 NE HWY 20, STE 610 PMB #452, BEND, OR 97701
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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