Individual
KNUT SKYBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
223 SW WILLOWBROOK DR, GRESHAM, OR 97080-6781
(406) 471-5201
Mailing address
223 SW WILLOWBROOK DR, GRESHAM, OR 97080-6781
(406) 471-5201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6292
OR
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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