Organization
BEND PHYSICAL THERAPY ASSOCIATES
Active
Other names
TAI - Central Oregon Sisters Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD ROBERT GIFFORD PT (COO)
(800) 219-8835
Entity
Organization
Contact information
Practice address
1011 DESPERADO TRL, SUITE 201, SISTERS, OR 97759-9580
(541) 549-3574
(541) 549-1092
Mailing address
11481 SW HALL BLVD, SUITE 201, PORTLAND, OR 97223-8403
(800) 219-8836
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OR
225X00000X
Occupational Therapist
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197671700
OWCP
OR
Enumeration date
12/14/2005
Last updated
09/09/2010
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