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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
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