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Organization
MCKENZIE CROSSING ORTHOPEDIC PHYSICAL THERAPY INC
Active
Organization
MCKENZIE CROSSING ORTHOPEDIC PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN K. GESIK P.T. (OWNER)
(541) 988-3337
Entity
Organization
Contact information
Practice address
145 S 52ND PL, SPRINGFIELD, OR 97478
(541) 988-3337
(541) 988-3299
Mailing address
145 S 52ND PL, SPRINGFIELD, OR 97478-6210
(541) 988-3337
(541) 988-3299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
NULL
Other
Enumeration date
12/26/2006
Last updated
06/15/2018
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