# OUTSIDE MOVEMENT PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1871191981
- **Authorized official:** NICOLE TODISCO PT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (802) 318-2254

## Contact information

- **Practice address:** 1010 NW HARRIMAN ST, BEND, OR 97703-1912
- **Practice address phone:** (802) 318-2254
- **Mailing address:** 1645 NE SHEPARD RD, BEND, OR 97701-4164
- **Mailing address phone:** (802) 318-2254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/12/2020
- **Last updated:** 10/12/2020