Organization
NORTHEAST OREGON PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S DALE JOHNSTON PT (OWNER/PHYSICAL THERAPIST)
(541) 963-9340
Entity
Organization
Contact information
Practice address
301 4TH ST, LA GRANDE, OR 97850-1901
(541) 963-9340
(541) 963-4562
Mailing address
301 4TH ST, LA GRANDE, OR 97850-1901
(541) 963-9340
(541) 963-4562
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0557
OR
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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