Organization
COTTAGE GROVE PHYSICAL THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN WOOD (OFFICE MANAGER)
(541) 767-2750
Entity
Organization
Contact information
Practice address
303 E MAIN ST, COTTAGE GROVE, OR 97424-2032
(541) 767-2750
(541) 767-2751
Mailing address
PO BOX 654, COTTAGE GROVE, OR 97424-0028
(541) 767-2750
(541) 767-2751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287517
—
OR
Enumeration date
11/02/2005
Last updated
08/22/2020
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