Organization
CORE PHYSICAL THERAPY AND SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BRASSFIELD PT, DPT (CO-OWNER/PHYSICAL THERAPIST)
(541) 389-6595
Entity
Organization
Contact information
Practice address
336 SW CYBER DR STE 107, BEND, OR 97702-1682
(541) 389-6595
Mailing address
336 SW CYBER DR STE 107, BEND, OR 97702-1682
(541) 389-6595
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1543
OR
Other
Enumeration date
09/16/2009
Last updated
01/06/2010
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