Organization
MERIT REHAB, LLC
Active
Other names
Cottage Grove Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
RICK MCDANIEL (PRESIDENT)
(503) 705-4962
Entity
Organization
Contact information
Practice address
1498 E MAIN ST, SUITE #109, COTTAGE GROVE, OR 97424-2204
(541) 767-2750
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(503) 783-2491
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R155616
PTAN
OR
Enumeration date
09/20/2010
Last updated
07/21/2014
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