Organization
THERAPEUTIC ASSOCIATES, INC
Active
Other names
TAI - Creswell Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TODD GIFFORD (CEO)
(800) 219-8835
Entity
Organization
Contact information
Practice address
170 MELTON RD, CRESWELL, OR 97426-9453
(503) 443-6156
(503) 639-9699
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500734317
—
OR
Enumeration date
09/01/2017
Last updated
11/15/2017
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