Organization
MIRANDA PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. C MIRANDA PT, DPT, OCS (PHYSICAL THERAPIST/OWNER)
(503) 496-1058
Entity
Organization
Contact information
Practice address
10151 SE SUNNYSIDE RD STE 310, CLACKAMAS, OR 97015-6913
(503) 496-1058
(888) 675-5282
Mailing address
10151 SE SUNNYSIDE RD STE 310, CLACKAMAS, OR 97015-6913
(503) 496-1058
(888) 675-5282
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5547
OR
Other
Enumeration date
04/28/2009
Last updated
12/16/2009
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