Organization
SAMPSON PHYSICAL THERAPY, INC
Active
Other names
Southside Physical Therapy, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN P SAMPSON (PRESIDENT/OWNER)
(541) 388-2681
Entity
Organization
Contact information
Practice address
121 NW GREENWOOD AVE STE 101, BEND, OR 97703-2079
(541) 388-2681
(541) 388-9236
Mailing address
121 NW GREENWOOD AVE STE 101, BEND, OR 97703-2079
(541) 388-2681
(541) 388-9236
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
16869140
OR
Other
Enumeration date
10/20/2016
Last updated
05/17/2024
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