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Organization
ELEVATE PHYSICAL THERAPY LLC
Active
Organization
ELEVATE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL KANG PT, DPT (OWNER)
(503) 290-9313
Entity
Organization
Contact information
Practice address
1601 E BRAMBLE CT, NEWBERG, OR 97132-9512
(503) 290-9313
Mailing address
1601 E BRAMBLE CT, NEWBERG, OR 97132-9512
(503) 290-9313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
NULL
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
04/07/2021
Last updated
04/11/2021
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