Organization
MOJO PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KEVIN THOMASON PT (PWNER)
(541) 915-3811
Entity
Organization
Contact information
Practice address
2211 NW PROFESSIONAL DR, SUITE 204, CORVALLIS, OR 97330-3891
(541) 207-3720
(541) 207-3729
Mailing address
2211 NW PROFESSIONAL DR, SUITE 204, CORVALLIS, OR 97330-3891
(541) 207-3720
(541) 207-3729
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
60894
OR
Other
Enumeration date
06/08/2016
Last updated
04/27/2017
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