Organization
STRATOS GROUP LLC
Active
Other names
Evolve Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LYLE WHITAKER PT (OWNER)
(707) 841-7718
Entity
Organization
Contact information
Practice address
20510 SW ROY ROGERS RD, SUITE 120, SHERWOOD, OR 97140-9319
(707) 841-7718
Mailing address
20510 SW ROY ROGERS RD, SUITE 120, SHERWOOD, OR 97140-9319
(707) 841-7718
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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