# SOUTH LANE PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1275936296
- **Authorized official:** CHRISTINA MARIE KARCHER PT (CO-OWNER)
- **Authorized official phone:** (541) 968-9901

## Contact information

- **Practice address:** 303 E MAIN ST, COTTAGE GROVE, OR 97424-2032
- **Practice address phone:** (541) 968-9901
- **Mailing address:** PO BOX 1327, CRESWELL, OR 97426-1327
- **Mailing address phone:** (541) 968-9901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 1553 | OR | Yes |

## Other

- **Enumeration date:** 10/05/2014
- **Last updated:** 10/05/2014
