Organization
SALEM PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN A MARQUARDT PT (PARTNER)
(503) 581-7232
Entity
Organization
Contact information
Practice address
1270 CENTER ST NE, SALEM, OR 97301-4113
(503) 581-7232
(503) 581-6511
Mailing address
33423 SW LADD HILL RD, WILSONVILLE, OR 97070-7548
(503) 625-7954
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089892
—
OR
Enumeration date
11/27/2007
Last updated
11/27/2007
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