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Organization

ONTARIO PHYSICAL THERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GLENN DODGE DPT (PRESIDENT)
(541) 889-4550
Entity
Organization

Contact information

Practice address
49 NW 1ST ST, SUITE 1, ONTARIO, OR 97914-2468
(541) 889-4550
(541) 889-4628
Mailing address
49 NW 1ST ST, SUITE 1, ONTARIO, OR 97914-2468
(541) 889-4550
(541) 889-4628

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3474
OR
225X00000X
Occupational Therapist
Primary
981352
OR

Other

Enumeration date
11/29/2006
Last updated
09/11/2025
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