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Organization

LINCOLN CITY PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARITO A MINA (DIRECTOR)
(541) 994-6252
Entity
Organization

Contact information

Practice address
3007 NE WEST DEVILS LAKE RD, LINCOLN CITY, OR 97367-5131
(541) 994-6252
Mailing address
3007 NE WEST DEVILS LAKE RD, LINCOLN CITY, OR 97367-5131

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128392
OR
Enumeration date
02/09/2007
Last updated
03/05/2013
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