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Organization
STARGAIT MEDFORD PHYSICAL THERAPY, LLC
Active
Organization
STARGAIT MEDFORD PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE A WENTZEL PT (OWNER)
(541) 292-4244
Entity
Organization
Contact information
Practice address
16420 SE MCGILLIVRAY BLVD STE 103-355, VANCOUVER, WA 98683-3461
(541) 292-4244
(855) 840-8203
Mailing address
16420 SE MCGILLIVRAY BLVD STE 103-355, VANCOUVER, WA 98683-3461
(541) 292-4244
(855) 840-8203
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
163WP0200X
Pediatric Registered Nurse
—
—
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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