Organization
THERAPEUTIC ASSOCIATES INC
Active
Other names
Therapeutic Associates Kings Road Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD ROBERT GIFFORD PT (INFORMATION SYSTEMS DIRECTOR)
(503) 443-6156
Entity
Organization
Contact information
Practice address
996 NW CIRCLE BLVD, SUITE 101, CORVALLIS, OR 97330-1410
(541) 757-0878
(541) 757-0879
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OR
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/19/2005
Last updated
10/29/2012
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