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Organization

PTCONNECTLLC

Active
Other names
PTCONNECT Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
FAHRUELDIN DEAN EBED DPT (CEO)
(503) 473-6553
Entity
Organization

Contact information

Practice address
7468 EVERWOOD ST NE, KEIZER, OR 97303-7858
(503) 451-5058
Mailing address
7468 EVERWOOD ST NE, KEIZER, OR 97303-7858
(503) 451-5058

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
04/20/2021
Last updated
03/16/2022
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