Organization
BRIDGE STREET PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L THORNBURG PT (PHYSICAL THERAPIST/MANAGER)
(503) 843-7617
Entity
Organization
Contact information
Practice address
215 S BRIDGE ST, SHERIDAN, OR 97378-1807
(503) 843-7617
(503) 843-7618
Mailing address
215 S BRIDGE ST, SHERIDAN, OR 97378-1807
(503) 843-7617
(503) 843-7618
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0495
OR
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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