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Organization
SOUTHERN OREGON PHYSICAL THERAPY ASSOCIATES INC.
Active
Organization
SOUTHERN OREGON PHYSICAL THERAPY ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEESA D NYSTROM PT (PRESIDENT)
(541) 773-7678
Entity
Organization
Contact information
Practice address
924 S RIVERSIDE AVE, MEDFORD, OR 97501-7842
(541) 773-7678
(541) 773-5517
Mailing address
924 S RIVERSIDE AVE, MEDFORD, OR 97501-7842
(541) 773-7678
(541) 773-5517
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
OR
Other
Enumeration date
04/18/2007
Last updated
06/26/2015
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