Organization
SANDY SPORTSCARE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMONIQUE MARIE RUSCITTI (BILLER AND CONTRACTING SPECIALIST)
(971) 274-2861
Entity
Organization
Contact information
Practice address
16621 CHAMPION WAY STE 100, SANDY, OR 97055-7258
(503) 668-5321
Mailing address
16621 CHAMPION WAY STE 100, SANDY, OR 97055-7258
(503) 668-5321
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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