Organization
REDBIRD PHYSIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN CHILDRESS (BUSINESS MANAGER)
(541) 797-3052
Entity
Organization
Contact information
Practice address
1441 SW CHANDLER AVE, SUITE 104, BEND, OR 97702-3208
(541) 797-3052
Mailing address
1441 SW CHANDLER AVE, SUITE 104, BEND, OR 97702-3208
(541) 797-3052
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2133
OR
Other
Enumeration date
01/31/2016
Last updated
06/24/2020
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