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Organization
ACTIVE RECOVERY AND MANUAL PHYSICAL THERAPY, LLC
Active
Organization
ACTIVE RECOVERY AND MANUAL PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULIE HEISEL MBA, PTA (OWNER, PTA)
(541) 337-0171
Entity
Organization
Contact information
Practice address
12014 SE SCHILLER ST, PORTLAND, OR 97266-3258
(541) 337-0171
Mailing address
12014 SE SCHILLER ST, PORTLAND, OR 97266-3258
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/28/2014
Last updated
06/28/2014
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