# NORTH LAKE PHYSICAL THERAPY AND REHABILITATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTH LAKE PHYSICAL THERAPY AND REHABILITATION, INC.
- **Other names:** Kosta, Choate and Pierson, Inc.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750658050
- **Legal business name:** NORTH LAKE PHYSICAL THERAPY AND REHABILITATION, INC.
- **Authorized official:** MICHAEL CHOATE MSPT (PRESIDENT, NORTH LAKE PHYSICAL THER)
- **Authorized official phone:** (503) 636-3028

## Contact information

- **Practice address:** 365 S REDWOOD ST, CANBY, OR 97013-2405
- **Practice address phone:** (503) 651-2020
- **Practice address fax:** (503) 651-2019
- **Mailing address:** 101 S STATE ST STE 200G, LAKE OSWEGO, OR 97034-3900

## Taxonomy

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

## Other

- **Enumeration date:** 11/30/2011
- **Last updated:** 11/30/2011