Organization
MERUU CORE CHOICE REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHOSHANNA DANICA LEWIS DPT (PHYSICAL THERAPIST)
(971) 205-2630
Entity
Organization
Contact information
Practice address
1975 NW 167TH PL # 100-43, BEAVERTON, OR 97006-4908
(971) 205-2630
Mailing address
1975 NW 167TH PL # 100-43, BEAVERTON, OR 97006-4908
(971) 205-2630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251E1200X
Ergonomics Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
01/28/2021
Last updated
02/17/2021
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