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Organization
TRASK RIVER THERAPY LLC
Active
Organization
TRASK RIVER THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN DIANE KNOTTS P.T. L.M.T. (REGISTERED AGENT)
(503) 842-7305
Entity
Organization
Contact information
Practice address
27025 TRASK RIVER RD, TILLAMOOK, OR 97141-8988
(503) 842-7305
(503) 842-0447
Mailing address
27025 TRASK RIVER RD, TILLAMOOK, OR 97141-8988
(503) 842-7305
(503) 842-0447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1696
OR
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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