Organization
PHYSICAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYNN CANIZARES (OWNER)
(541) 345-7532
Entity
Organization
Contact information
Practice address
1310 COBURG RD STE 5, EUGENE, OR 97401-5200
(541) 345-7532
Mailing address
1310 COBURG RD STE 5, EUGENE, OR 97401-5200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08782
OR
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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