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Organization
SOUTH LANE PHYSICAL THERAPY LLC
Active
Organization
SOUTH LANE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA MARIE KARCHER PT (CO-OWNER)
(541) 968-9901
Entity
Organization
Contact information
Practice address
303 E MAIN ST, COTTAGE GROVE, OR 97424-2032
(541) 968-9901
Mailing address
PO BOX 1327, CRESWELL, OR 97426-1327
(541) 968-9901
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1553
OR
Other
Enumeration date
10/05/2014
Last updated
10/05/2014
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