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Organization

MOVING MOUNTAINS THERAPY AT HOME LLC

Active
Other names
Moving Mountains Therapy at Home, Moving Mountains Therapy at Home LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONIEL M HAGEE DPT, OCS, ATC (DOCTOR OF PHYSICAL THERAPY)
(360) 306-1383
Entity
Organization

Contact information

Practice address
20469 JACKLIGHT LN, BEND, OR 97702-3074
(360) 306-1383
(541) 316-6526
Mailing address
PO BOX 783, BEND, OR 97709-0783
(541) 316-6520

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
01/14/2020
Last updated
02/19/2020
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