# ROSE AHEARN PT PC

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

## Provider details

- **NPI number:** 1679039580
- **Authorized official:** ROSE AHEARN PT (PRESIDENT)
- **Authorized official phone:** (845) 699-3392

## Contact information

- **Practice address:** 1029 RIVER RD, EUGENE, OR 97404-3242
- **Practice address phone:** (503) 972-0235
- **Mailing address:** 45 E 31ST AVE, EUGENE, OR 97405-3736
- **Mailing address phone:** (845) 699-3392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/15/2019
- **Last updated:** 02/15/2019