Organization
PRO MOTION PHYSICAL THERAPY OF BEND
Active
Other names
Promotion Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BLAKE MATLOCK B.S., MSPT (OWNER)
(541) 390-0523
Entity
Organization
Contact information
Practice address
1693 SW CHANDLER AVE, SUITE 140, BEND, OR 97702-3236
(541) 390-0523
(541) 787-4383
Mailing address
PO BOX 72, BEND, OR 97709-0072
(541) 390-0523
(541) 787-4383
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
04366
OR
Other
Enumeration date
03/09/2016
Last updated
04/14/2016
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