Organization
OPTIMAL THERAPY FOR KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASCHA GERVAIS PT (OWNER/PHYSICAL THERAPIST)
(503) 453-6335
Entity
Organization
Contact information
Practice address
1145 ROCK CREEK DR S, SALEM, OR 97306-2222
(503) 453-6335
Mailing address
1145 ROCK CREEK DR S, SALEM, OR 97306-2222
(503) 453-6335
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4469
OR
225XP0200X
Pediatric Occupational Therapist
306415
OR
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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