# THE MOVEMENT STUDIO INC.

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

## Provider details

- **NPI number:** 1841685674
- **Authorized official:** MS. MARY ELLEN GORMAN PT (PHYSICAL THERAPIST/OWNER)
- **Authorized official phone:** (541) 535-7019

## Contact information

- **Practice address:** 309 S PACIFIC HWY, TALENT, OR 97540-6650
- **Practice address phone:** (541) 535-7019
- **Practice address fax:** (541) 512-8717
- **Mailing address:** 309 S PACIFIC HWY, TALENT, OR 97540-6650
- **Mailing address phone:** (541) 535-7019
- **Mailing address fax:** (541) 512-8717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 03975 | OR | Yes |

## Other

- **Enumeration date:** 03/30/2015
- **Last updated:** 10/26/2015