Organization
TUALATIN PHYSICAL THERAPY & SPORTS REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN J CASPER PT (PRESIDENT)
(503) 885-2199
Entity
Organization
Contact information
Practice address
19767 SW 72ND AVE, SUITE 102, TUALATIN, OR 97062-8354
(503) 885-2199
(503) 885-2129
Mailing address
19767 SW 72ND AVE, SUITE 102, TUALATIN, OR 97062-8354
(503) 885-2199
(503) 885-2129
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0777
OR
225100000X
Physical Therapist
1052
OR
225100000X
Physical Therapist
1583
OR
Other
Enumeration date
11/23/2007
Last updated
04/08/2011
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