# ACTIVE RECOVERY AND MANUAL PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669887691
- **Authorized official:** PAULIE HEISEL MBA, PTA (OWNER, PTA)
- **Authorized official phone:** (541) 337-0171

## Contact information

- **Practice address:** 12014 SE SCHILLER ST, PORTLAND, OR 97266-3258
- **Practice address phone:** (541) 337-0171
- **Mailing address:** 12014 SE SCHILLER ST, PORTLAND, OR 97266-3258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/28/2014
- **Last updated:** 06/28/2014