Organization
PIONEER MEMORIAL PHYSICAL THERAPY
Active
Other names
Pioneer Memorial Physical Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CARNINE PT (OWNER)
(406) 531-5918
Entity
Organization
Contact information
Practice address
695 S ALFALFA STREET, HEPPNER, OR 97836-6300
(541) 676-1123
(541) 676-1122
Mailing address
PO BOX 70689, SALT LAKE CITY, UT 84170-0689
(801) 987-8600
(801) 987-8601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5020
OR
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
07/17/2006
Last updated
11/13/2024
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