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Organization
THE MOVEMENT STUDIO INC.
Active
Organization
THE MOVEMENT STUDIO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ELLEN GORMAN PT (PHYSICAL THERAPIST/OWNER)
(541) 535-7019
Entity
Organization
Contact information
Practice address
309 S PACIFIC HWY, TALENT, OR 97540-6650
(541) 535-7019
(541) 512-8717
Mailing address
309 S PACIFIC HWY, TALENT, OR 97540-6650
(541) 535-7019
(541) 512-8717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03975
OR
Other
Enumeration date
03/30/2015
Last updated
10/26/2015
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