Organization
ALEVIA PHYSICAL THERAPY LLC
Active
Other names
Alevia Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN CHRISTOPHER SPENCE PT, DPT (CEO)
(541) 210-5674
Entity
Organization
Contact information
Practice address
1345 CENTER DR STE 100, MEDFORD, OR 97501-7945
(541) 210-5674
(541) 210-5674
Mailing address
1345 CENTER DR STE 100, MEDFORD, OR 97501-7945
(541) 210-5674
(541) 210-5674
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500705016
—
OR
Enumeration date
08/04/2015
Last updated
10/16/2023
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