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Organization
PROACTIVE PHYSICAL THERAPY - PRINEVILLE, LLC
Active
Organization
PROACTIVE PHYSICAL THERAPY - PRINEVILLE, LLC
Active
Other names
Prineville Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE ALSTOT (MEMBER)
(503) 489-6250
Entity
Organization
Contact information
Practice address
1251 NE ELM ST, PRINEVILLE, OR 97754-1206
(541) 447-6846
Mailing address
1480 NE VILLAGE ST, FAIRVIEW, OR 97024-3827
(503) 489-6250
(503) 489-1650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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