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Organization

THERAPEUTIC ASSOCIATES INC

Active
Other names
TAI - Myrtle Creek Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
TODD GIFFORD (CEO)
(800) 219-8835
Entity
Organization

Contact information

Practice address
213 NW 2ND AVE, MYRTLE CREEK, OR 97457-9139
(800) 219-8835
(503) 639-9699
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R104278
MEDICARE
OR
Enumeration date
05/18/2017
Last updated
07/20/2017
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