Organization
PIVOTAL PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN DAVID HARLE P.T. (OWNER)
(503) 625-2217
Entity
Organization
Contact information
Practice address
15899 SW BALER WAY, SHERWOOD, OR 97140-8833
(503) 625-2217
(503) 925-1469
Mailing address
15899 SW BALER WAY, SHERWOOD, OR 97140-8833
(503) 625-2217
(503) 925-1469
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4428
OR
Other
Enumeration date
05/28/2006
Last updated
07/21/2022
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