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Organization
MINDS IN MOTION INITIATIVE
Active
Organization
MINDS IN MOTION INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN CORRADO (CLINICAL SERVICES DIRECTOR)
(971) 374-2550
Entity
Organization
Contact information
Practice address
2870 BROADWAY ST NE, SALEM, OR 97303-6500
(971) 374-2550
Mailing address
2870 BROADWAY ST NE, SALEM, OR 97303-6500
(719) 374-2550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/23/2021
Last updated
08/22/2022
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