Organization
TRASK RIVER THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN DIANE KNOTTS P.T. L.M.T. (REGISTERED AGENT)
(503) 842-7305
Entity
Organization
Contact information
Practice address
27025 TRASK RIVER RD, TILLAMOOK, OR 97141-8988
(503) 842-7305
(503) 842-0447
Mailing address
27025 TRASK RIVER RD, TILLAMOOK, OR 97141-8988
(503) 842-7305
(503) 842-0447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1696
OR
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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