Organization
GREGORY ZADOW INC. P.S.
Active
Other names
Green Ridge Physical Therapy & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL DENISE STATTON (BILLING/CREDENTIALING MANAGER)
(541) 299-0294
Entity
Organization
Contact information
Practice address
325 N. LOCUST STREET, SISTERS, OR 97759
(541) 549-3534
(541) 549-1272
Mailing address
PO BOX 1911, SISTERS, OR 97759-1911
(541) 549-3534
(541) 549-1272
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4090
OR
Other
Enumeration date
05/25/2006
Last updated
09/11/2023
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