Organization
MCKENZIE CROSSING ORTHOPEDIC PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN K. GESIK P.T. (OWNER)
(541) 988-3337
Entity
Organization
Contact information
Practice address
145 S 52ND PL, SPRINGFIELD, OR 97478
(541) 988-3337
(541) 988-3299
Mailing address
145 S 52ND PL, SPRINGFIELD, OR 97478-6210
(541) 988-3337
(541) 988-3299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
12/26/2006
Last updated
06/15/2018
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