Organization
SOMA POTENTIAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI JAMES DPT (PHYSICAL THERAPIST)
(773) 351-5092
Entity
Organization
Contact information
Practice address
3601 MAHLON AVE, EUGENE, OR 97401-8046
(773) 351-5092
Mailing address
3601 MAHLON AVE, EUGENE, OR 97401-8046
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
60663
OR
Other
Enumeration date
05/20/2017
Last updated
05/20/2017
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