Individual
ERIC GOTTFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1931 NW MULHOLLAND DR, ROSEBURG, OR 97470-6500
(541) 672-5795
Mailing address
1931 NW MULHOLLAND DR, ROSEBURG, OR 97470-6500
(541) 672-5795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03357
OR
Other
Enumeration date
03/19/2017
Last updated
03/19/2017
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