Individual
KEELY BITTERSWEET ZODROW-NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7833 N OMAHA AVE, PORTLAND, OR 97217
(541) 944-7610
Mailing address
7833 N OMAHA AVE, PORTLAND, OR 97217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6539
OR
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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