Organization
MECHANOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN GREGORY HEBERT PT (REGISTERED AGENT/OWNER)
(310) 903-1828
Entity
Organization
Contact information
Practice address
2232 NW PETTYGROVE ST STE 110, PORTLAND, OR 97210-2372
(310) 903-1828
Mailing address
4975 SE DIVISION ST APT 348, PORTLAND, OR 97206-1574
(310) 903-1828
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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