Organization
EASTERN OREGON PHYSICAL THERAPY HERMISTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CARNINE PT (OWNER)
(406) 531-5918
Entity
Organization
Contact information
Practice address
1725 N 1ST ST STE D, HERMISTON, OR 97838-1682
(541) 567-5678
(541) 567-2110
Mailing address
PO BOX 90, SUNNYSIDE, WA 98944-0090
(541) 567-5678
(541) 567-2110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
110326-2401
UT
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
07/13/2006
Last updated
12/02/2024
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