# OREGON MOBILE PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1811623614
- **Authorized official:** DR. GARRETT CORRIGAN STROUP DPT (FOUNDER)
- **Authorized official phone:** (815) 978-6512

## Contact information

- **Practice address:** 23451 N UMPQUA HWY, GLIDE, OR 97443-0277
- **Practice address phone:** (815) 978-6512
- **Mailing address:** 23451 N UMPQUA HWY, GLIDE, OR 97443-0277
- **Mailing address phone:** (815) 978-6512

## Taxonomy

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

## Other

- **Enumeration date:** 07/26/2022
- **Last updated:** 09/07/2022