Organization
MOUNTAIN VALLEY THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE WARNOCK (BUSINESS MANAGER)
(541) 962-0830
Entity
Organization
Contact information
Practice address
2519 COVE AVE, LA GRANDE, OR 97850-3910
(541) 962-0830
Mailing address
2519 COVE AVE, LA GRANDE, OR 97850-3910
(541) 962-0830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3006
OR
Other
Enumeration date
11/18/2005
Last updated
06/12/2012
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