Organization
PROKALEO PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT GILBERTSON PT (OWNER)
(480) 298-6351
Entity
Organization
Contact information
Practice address
12120 SW GARDEN PL, TIGARD, OR 97223-8264
(971) 256-8416
Mailing address
153 NE JEFFERSON ST, HILLSBORO, OR 97124-3183
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467996983
—
CA
Enumeration date
04/18/2019
Last updated
04/18/2019
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