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Organization
SANDY SPORTSCARE PHYSICAL THERAPY LLC
Active
Organization
SANDY SPORTSCARE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMONIQUE MARIE RUSCITTI (BILLER AND CONTRACTING SPECIALIST)
(971) 274-2861
Entity
Organization
Contact information
Practice address
16621 CHAMPION WAY STE 100, SANDY, OR 97055-7258
(503) 668-5321
Mailing address
16621 CHAMPION WAY STE 100, SANDY, OR 97055-7258
(503) 668-5321
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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