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Organization
PIONEER MEMORIAL PHYSICAL THERAPY
Active
Organization
PIONEER MEMORIAL PHYSICAL THERAPY
Active
Other names
Pioneer Memorial Physical Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CARNINE PT (OWNER)
(406) 531-5918
Entity
Organization
Contact information
Practice address
695 S ALFALFA STREET, HEPPNER, OR 97836-6300
(541) 676-1123
(541) 676-1122
Mailing address
PO BOX 70689, SALT LAKE CITY, UT 84170-0689
(801) 987-8600
(801) 987-8601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5020
OR
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
07/17/2006
Last updated
11/13/2024
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