Organization
HOMEBODY PELVIC HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA HEELAN DPT (OWNER)
(802) 318-2502
Entity
Organization
Contact information
Practice address
6363 N CONCORD AVE, PORTLAND, OR 97217-4783
(802) 318-2502
Mailing address
6363 N CONCORD AVE, PORTLAND, OR 97217-4783
(802) 318-2502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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