Organization
NORTHEAST OREGON PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE JOHNSTON (BUSINESS MANAGER)
(541) 963-9340
Entity
Organization
Contact information
Practice address
301 4TH ST, LA GRANDE, OR 97850-1901
(541) 963-9340
(541) 963-4562
Mailing address
301 4TH ST, LA GRANDE, OR 97850-1901
(541) 963-9340
(541) 963-4562
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4176
OR
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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