Organization
BEND PHYSICAL THERAPY ASSOCIATES
Active
Other names
TAI Central Oregon Athletic Club of Bend
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD ROBERT GIFFORD PT (COO)
(800) 219-8835
Entity
Organization
Contact information
Practice address
61615 ATHLETIC CLUB DR, BEND, OR 97702-3124
(541) 382-7890
(541) 382-7498
Mailing address
11481 SW HALL BLVD, STE 201, PORTLAND, OR 97223-8403
(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
—
197670363
OWCP
OR
Enumeration date
12/19/2005
Last updated
09/09/2010
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