# HIGH DESERT THERAPY ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** La Pine Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871569764
- **Authorized official:** JAMES PHILIP SMITH (TREASURER BUSINESS MANAGER)
- **Authorized official phone:** (541) 593-8535

## Contact information

- **Practice address:** 56881 ENTERPRISE DR, SUNRIVER, OR 97707
- **Practice address phone:** (541) 593-8535
- **Practice address fax:** (541) 593-0316
- **Mailing address:** PO BOX 4185, SUNRIVER, OR 97707
- **Mailing address phone:** (541) 593-8535
- **Mailing address fax:** (541) 593-0316

## Taxonomy

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

## Other

- **Enumeration date:** 02/28/2006
- **Last updated:** 04/28/2008