Organization
CASCADE PHYSICAL THERAPY OF GRANTS PASS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUVI K WEBER PT (OWNER PHYSICAL THERAPIST)
(541) 955-0940
Entity
Organization
Contact information
Practice address
544 UNION AVE, GRANTS PASS, OR 97527
(541) 955-0940
(541) 955-5233
Mailing address
544 UNION AVE, GRANTS PASS, OR 97527
(541) 955-0940
(541) 955-5233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1086
OR
225100000X
Physical Therapist
Primary
4392
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
865489000
BCBS
—
Enumeration date
01/08/2007
Last updated
06/12/2008
Update your record
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