Individual
MR. TED IWAMIZU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
873 NE 7TH ST, GRANTS PASS, OR 97526-1634
(541) 474-6955
Mailing address
1440 SE ROGUE DR, GRANTS PASS, OR 97526-4065
(541) 471-2226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4225
OR
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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