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Organization

PRIME PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE ALAN BALCITA JR. PT, DPT, CSCS (PHYSICAL THERAPIST)
(541) 974-8572
Entity
Organization

Contact information

Practice address
337 UNION AVE STE D, GRANTS PASS, OR 97527-5574
(541) 974-8572
Mailing address
1205 MARCUS WAY, GRANTS PASS, OR 97527-5782
(541) 974-8572

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
12/11/2020
Last updated
12/11/2020
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