Organization
LOW FIVE PRODUCTIONS, LLC
Active
Other names
Mandon Welch Therapeutics, Mandon Welch Physical Therapy and Sport Performance
Organization subpart
No
Provider details
NPI number
Authorized official
MANDON PORTER WELCH PT (OWNER)
(541) 728-3412
Entity
Organization
Contact information
Practice address
2753 NW LOLO DR, BEND, OR 97703-7288
(541) 728-3412
(541) 610-1504
Mailing address
21090 VIA SANDIA, BEND, OR 97702-9588
(541) 728-3412
(541) 610-1504
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
05361
OR
Other
Enumeration date
02/13/2018
Last updated
06/16/2018
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