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Organization
STASZAK PHYSICAL THERAPY
Active
Organization
STASZAK PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE STASZAK (OWNER)
(541) 505-8180
Entity
Organization
Contact information
Practice address
488 E 11TH AVE STE 3A, EUGENE, OR 97401-3601
(541) 505-8180
(541) 505-7134
Mailing address
488 E 11TH AVE, EUGENE, OR 97401-3601
(541) 505-8180
(541) 505-7134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
Other
Enumeration date
11/09/2010
Last updated
08/19/2022
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