Organization
DECIPHER PHYSIO, LLC
Active
Other names
Orchard Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BREANNA CRAWFORD DPT (OWNER/PHYSICAL THERAPIST)
(541) 728-3559
Entity
Organization
Contact information
Practice address
1129 NE 12TH ST, BEND, OR 97701-4413
(541) 728-3559
Mailing address
1129 NE 12TH ST, BEND, OR 97701-4413
(541) 728-3559
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437381514
NPI
—
Enumeration date
08/19/2020
Last updated
10/26/2020
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