Organization
PROMOTION ADVANCED FUNCTIONAL REHAB LLC
Active
Other names
ProMotion Physical Therapy, ProMotion Physical Therapy of Stayton, ProMotion Physical Therapy of Silverton
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN L ANGLIN (MANAGER)
(503) 769-3123
Entity
Organization
Contact information
Practice address
601 N 1ST AVE, STAYTON, OR 97383
(503) 769-3123
(503) 769-3123
Mailing address
601 N 1ST ST, STAYTON, OR 97383
(503) 769-3123
(503) 769-3176
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
2662
OR
2251X0800X
Orthopedic Physical Therapist
2672
OR
2251X0800X
Orthopedic Physical Therapist
3854
OR
2251X0800X
Orthopedic Physical Therapist
4422
OR
2251X0800X
Orthopedic Physical Therapist
Primary
4435
OR
225200000X
Physical Therapy Assistant
8535
OR
225200000X
Physical Therapy Assistant
9133
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005957
—
OR
Enumeration date
05/24/2006
Last updated
06/16/2018
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