Individual
TIMOTHY I GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
20885 EGYPT DR STE 150, BEND, OR 97701-7827
(541) 250-3020
Mailing address
20757 NE SIERRA DR, BEND, OR 97701-7174
(541) 250-3020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61543
OR
Other
Enumeration date
02/08/2016
Last updated
03/29/2023
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