Organization
PTMOBILE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB KLINGBEIL PT (PHYSICAL THERAPIST)
(701) 370-5202
Entity
Organization
Contact information
Practice address
9505 SW 50TH AVE, PORTLAND, OR 97219-5159
(701) 370-5202
Mailing address
9505 SW 50TH AVE, PORTLAND, OR 97219-5159
(701) 370-5202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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