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Organization
ACTION REHABILITATION & SPORTS MEDICINE, P.C.
Active
Organization
ACTION REHABILITATION & SPORTS MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD LYNN LOPEZ MS (OWNER)
(541) 472-1799
Entity
Organization
Contact information
Practice address
1619 NW HAWTHORNE AVE, SUITE 109, GRANTS PASS, OR 97526-6008
(541) 472-1799
(541) 472-1699
Mailing address
1619 NW HAWTHORNE AVE, SUITE 109, GRANTS PASS, OR 97526-6008
(541) 472-1799
(541) 472-1699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4012
OR
Other
Enumeration date
10/22/2007
Last updated
07/18/2013
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