Organization
J-WELL PILATES REHAB STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIE LEWALLEN (OWNER)
(307) 751-1174
Entity
Organization
Contact information
Practice address
310 E CALIFORNIA ST UNIT B, JACKSONVILLE, OR 97530-9414
(541) 203-0709
Mailing address
400 TETHEROW RD, WILLIAMS, OR 97544-9543
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
6285
OR
Other
Enumeration date
03/22/2015
Last updated
03/22/2015
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