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Organization
TABOR PEDIATRIC PHYSICAL THERAPY LLC
Active
Organization
TABOR PEDIATRIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY LOUISE LIGHTHIPE DPT (PHYSICAL THERAPIST)
(503) 522-1359
Entity
Organization
Contact information
Practice address
2224 SE 53RD AVE, PORTLAND, OR 97215-3916
(503) 522-1359
Mailing address
2224 SE 53RD AVE, PORTLAND, OR 97215-3916
(503) 522-1359
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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