Organization
ICCO, LLC
Active
Other names
Nova Health, Atlas Physical and Hand Therapy, Nova Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM H CLENDENEN (CEO)
(541) 799-1150
Entity
Organization
Contact information
Practice address
1800 COBURG RD, EUGENE, OR 97401-4995
(541) 342-1632
(541) 345-8763
Mailing address
1292 HIGH ST STE 224, EUGENE, OR 97401-3238
(541) 228-3865
(541) 654-4693
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/28/2010
Last updated
07/16/2019
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