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Organization
CANBY PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Active
Organization
CANBY PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY DEAN KRAUT (MANAGING MEMBER)
(503) 740-8847
Entity
Organization
Contact information
Practice address
308 N IVY ST, CANBY, OR 97013-3704
(503) 263-6786
(503) 263-6451
Mailing address
PO BOX 52194, DEPT CODE 960, PHOENIX, AZ 85072-2194
(503) 489-1781
(503) 489-1650
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3131
OR
Other
Enumeration date
03/31/2006
Last updated
01/19/2009
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