Organization
PHYSICALITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS JAMES SIEWERT DPT (OWNER)
(541) 510-3622
Entity
Organization
Contact information
Practice address
7128 MAPLEWOOD DR SE, TURNER, OR 97392-7903
(541) 510-3622
Mailing address
7128 MAPLEWOOD DR SE, TURNER, OR 97392-7903
(541) 510-3622
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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