Organization
MOTION MEDIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT PAULO FORMALEJO PANGANIBAN PT, DPT (MANAGING MEMBER/OWNER)
(541) 887-2090
Entity
Organization
Contact information
Practice address
6420 S 6TH ST, KLAMATH FALLS, OR 97603-7111
(541) 887-2090
(855) 719-2480
Mailing address
6420 S 6TH ST, KLAMATH FALLS, OR 97603-7111
(541) 887-2090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
10/04/2023
Last updated
08/26/2024
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