# COLUMBIA COUNTY MOBILE PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1225613904
- **Authorized official:** DR. CARA M HEINZE DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (805) 610-1416

## Contact information

- **Practice address:** 52436 NE 14TH ST, SCAPPOOSE, OR 97056-3332
- **Practice address phone:** (805) 610-1416
- **Mailing address:** 52436 NE 14TH ST, SCAPPOOSE, OR 97056-3332
- **Mailing address phone:** (805) 610-1416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/14/2021
- **Last updated:** 03/09/2022