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Organization

THERAPEUTIC ASSOCIATES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TODD GIFFORD P.T (CHIEF OPERATING OFFICER)
(800) 219-8835
Entity
Organization

Contact information

Practice address
3645 EAST OVERLAND RD., MERIDIAN, ID 83642
(208) 888-7765
(208) 888-7955
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(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
05
1245572429
ID
Enumeration date
03/26/2013
Last updated
12/03/2013
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