Organization
PERFORMANCE ZONE SPORTS AND ORTHOPEDIC PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYL LEON IVINS PT (CLINIC DIRECTOR)
(503) 371-4800
Entity
Organization
Contact information
Practice address
2138 LANCASTER DR NE, SUITE 103, SALEM, OR 97305-1227
(503) 371-4800
(503) 371-4801
Mailing address
2138 LANCASTER DR NE, SUITE 103, SALEM, OR 97305-1227
(503) 371-4800
(503) 371-4801
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3584
OR
Other
Enumeration date
03/16/2007
Last updated
07/30/2008
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