Organization
ACTIVE RECOVERY AND MANUAL PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULIE HEISEL MBA, PTA (OWNER, PTA)
(541) 337-0171
Entity
Organization
Contact information
Practice address
12014 SE SCHILLER ST, PORTLAND, OR 97266-3258
(541) 337-0171
Mailing address
12014 SE SCHILLER ST, PORTLAND, OR 97266-3258
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2014
Last updated
06/28/2014
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